Cater, Gary Wayne

Cater, Gary Wayne is an individual health care provider with primary practice located at 400 Health Park Blvd , St Augustine FL 32086-5784. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Cater, Gary Wayne can be contacted via phone (904) 819-4478.

Contact Information

Primary practice address
400 Health Park Blvd St Augustine FL 32086-5784
Phone: (904) 819-4478
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS4397 Florida
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X OS4397 Florida

Profile Details

NPI number 1033254214
LBN Legal business name Cater, Gary Wayne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Nov 1st, 2011 - about 15 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 1033254214 NPPES
Florida MEDICAID 276220000

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