MEDICARE: DR. ERIC L CARTER M.D.

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	207N00000X	Dermatology Physician	197570-1	NY
2	207N00000X	Dermatology Physician	ME 91215	FL

General Provider Information

NPI Number	:	1528149366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC L CARTER M.D.

Provider Business Mailing Address
First Line	:	2520 CORAL WAY
Second Line	:	SUITE 2-510
City	:	MIAMI
State	:	FL
Zip	:	33145-3438
Country	:	US
Telephone Number	:	503-916-9978
Fax Number	:

Provider Business Practice Location Address
First Line	:	2520 CORAL WAY
Second Line	:	SUITE 2-510
City	:	MIAMI
State	:	FL
Zip	:	33145-3438
Country	:	US
Telephone Number	:	503-916-9978
Fax Number	:

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

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	09/07/2012

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