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NPI Code Detail

MEDICARE: TAMARA CARTER CCC-SLP

MEDICARE: TAMARA CARTER CCC-SLP
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
1235Z00000XSpeech-Language PathologistGA
2235Z00000XSpeech-Language PathologistSA21796FL

Other Identifiers

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

General Provider Information

NPI Number : 1326114885
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMARA CARTER CCC-SLP
Provider Business Mailing Address
First Line : 6100 GRIFFIN RD
Second Line :
City : DAVIE
State : FL
Zip : 33314-4416
Country : US
Telephone Number : 322-380-0989
Fax Number :
Provider Business Practice Location Address
First Line : 6100 GRIFFIN RD
Second Line :
City : DAVIE
State : FL
Zip : 33314-4416
Country : US
Telephone Number : 986-322-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 12/07/2023

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1710089933 — MRS. ELANE R FRIEDEL SLP
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1053413195 — RACHEL M WILLIAMS PH.D., CCC-SLP
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1629171590 — MR. FREDERICK DICARLO M.S., CCC-SLP
Practice Location Address:
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Directions to “ TAMARA CARTER CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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