Carter, Michele Ann

Carter, Michele Ann is an individual health care provider with primary practice located at 2 Shircliff Way Ste 435 , Jacksonville FL 32204-4763. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Carter, Michele Ann can be contacted via phone (904) 388-8686.

Contact Information

Primary practice address
2 Shircliff Way Ste 435 Jacksonville FL 32204-4763
Phone: (904) 388-8686
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME0074448 Florida

Profile Details

NPI number 1063416824
LBN Legal business name Carter, Michele Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Oct 3rd, 2012 - about 14 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 1063416824 NPPES
Florida MEDICAID 253050300

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