Carter, Mary
Carter, Mary is an sole proprietor health care provider with primary practice located at 3801 Nw 174Th St , Miami Gardens FL 33055-3825. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Carter, Mary can be contacted via phone (305) 628-8957.Contact Information
Primary practice address
3801 Nw 174Th St
Miami Gardens FL 33055-3825
Phone: (305) 628-8957
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | FRC 0108-2277-97 | Florida |
Profile Details
| NPI number | 1972760619 |
|---|---|
| LBN Legal business name | Carter, Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2008 |
| Last updated | May 20th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972760619 | NPPES |
| Florida | Other | 230215200 | MEDICAID PROVIDER NUMBER |
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