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Individual
TATAYANA CARTER
Active
Individual
TATAYANA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107942
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018115900
—
FL
01
—
8889858
CIGNA/GREAT WEST
FL
01
—
BF7VQ
BC/BS OF FLORIDA
FL
01
—
MA684
MEDICARE PIN
FL
01
—
PA9107942
LICENSE
FL
Enumeration date
06/09/2014
Last updated
03/21/2025
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