MEDICARE: JOHN CARTER MD

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	207RR0500X	Rheumatology Physician	ME74849	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	01774	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1447269238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN CARTER MD

Provider Business Mailing Address
First Line	:	2255 GLADES RD STE 228W
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33431-7391
Country	:	US
Telephone Number	:	813-696-1681
Fax Number	:	813-696-1703

Provider Business Practice Location Address
First Line	:	2919 W SWANN AVE STE 402
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4083
Country	:	US
Telephone Number	:	813-696-1681
Fax Number	:	813-696-1703

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

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	09/26/2024

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