MEDICARE: CARTERS WALK-IN AND URGENT CARE

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1811863327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARTERS WALK-IN AND URGENT CARE

Provider Business Mailing Address
First Line	:	6909 W WATERS AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-2213
Country	:	US
Telephone Number	:	813-999-1152
Fax Number	:	813-999-1053

Provider Business Practice Location Address
First Line	:	1601 SW 127TH PL
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73170-5013
Country	:	US
Telephone Number	:	813-999-1152
Fax Number	:	813-999-1053

Authorized Official
Title or Position	:	OWNER
Name	:	REBECCA KATHLEEN CARTER
Credential	:
Telephone Number	:	813-999-1152

Provider Enumeration Date	:	10/13/2025
Last Update Date	:	10/13/2025

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