Provider Demographics
NPI:1447269238
Name:CARTER, JOHN (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:CARTER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2255 GLADES RD STE 228W
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7391
Mailing Address - Country:US
Mailing Address - Phone:813-696-1681
Mailing Address - Fax:813-696-1703
Practice Address - Street 1:2919 W SWANN AVE STE 402
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-4083
Practice Address - Country:US
Practice Address - Phone:813-696-1681
Practice Address - Fax:813-696-1703
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2024-09-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME74849207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL261512600Medicaid
FL01774OtherBLUE CROSS BLUE SHIELD
FLH41452Medicare UPIN