# CARL PRATT JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1942755509
- **Gender:** Man
- **Credential:** MSMHC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | NONE | FL | Yes |
| 172A00000X | Driver | P630139743438 | FL | — |
| 376J00000X | Homemaker | 234582 | FL | — |

## Other

- **Enumeration date:** 08/23/2016
- **Last updated:** 11/04/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 016291000 | PROVIDER NUMBER | FL |