MEDICARE: DR. KAREN HENARD CARTER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH7913	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326040452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN HENARD CARTER D.C.

Provider Business Mailing Address
First Line	:	4566 E HIGHWAY 20
Second Line	:	STE 205
City	:	NICEVILLE
State	:	FL
Zip	:	32578-8839
Country	:	US
Telephone Number	:	850-897-1105
Fax Number	:	850-897-1108

Provider Business Practice Location Address
First Line	:	4566 E HIGHWAY 20
Second Line	:	STE 205
City	:	NICEVILLE
State	:	FL
Zip	:	32578-8839
Country	:	US
Telephone Number	:	850-897-1105
Fax Number	:	850-897-1108

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	05/13/2020

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