Carter, Charmaine A.

Carter, Charmaine A. is an individual health care provider with primary practice located at 12450 Roosevelt Blvd N Suite 308, St Petersburg FL 33716-1902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Carter, Charmaine A. can be contacted via phone (727) 572-0900.

Contact Information

Primary practice address
12450 Roosevelt Blvd N Suite 308 St Petersburg FL 33716-1902
Phone: (727) 572-0900
Fax: (727) 573-1428
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME65450 Florida

Profile Details

NPI number 1407841182
LBN Legal business name Carter, Charmaine A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Nov 20th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407841182 NPPES
Florida MEDICAID 374291100

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