MEDICARE: DR. SANDRA CARTER AP, DOM

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	225700000X	Massage Therapist	4916	NC
2	171100000X	Acupuncturist	AP3388	FL

General Provider Information

NPI Number	:	1902031362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANDRA CARTER AP, DOM

Provider Business Mailing Address
First Line	:	3613 W ROGERS AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33611-3639
Country	:	US
Telephone Number	:	813-513-2923
Fax Number	:

Provider Business Practice Location Address
First Line	:	4230 S MACDILL AVE STE F
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33611-1901
Country	:	US
Telephone Number	:	813-513-2923
Fax Number	:

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

Provider Enumeration Date	:	05/28/2009
Last Update Date	:	07/18/2014

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Directions to “ DR. SANDRA CARTER AP, DOM” Practice Location

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