# JUAN J CARRERE MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689825358
- **Authorized official:** JUAN J CARRERE MD (MANAGING MEMBER)
- **Authorized official phone:** (814) 913-1440

## Contact information

- **Practice address:** 13710 METROPOLIS AVE, SUITE 110, FORT MYERS, FL 33912-7144
- **Practice address phone:** (239) 415-2273
- **Practice address fax:** (239) 415-2280
- **Mailing address:** 1633 TREASURE LK, DU BOIS, PA 15801-9043
- **Mailing address phone:** (814) 913-1440
- **Mailing address fax:** (814) 913-1440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME85054 | FL | Yes |

## Other

- **Enumeration date:** 09/30/2008
- **Last updated:** 10/07/2009