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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972760619 NPPES
Florida Other 230215200 MEDICAID PROVIDER NUMBER

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