Individual
MR. DANIEL STEVEN CARTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4120 12TH AVE N, ST PETERSBURG, FL 33713-5914
(727) 272-9119
(727) 202-8240
Mailing address
4120 12TH AVE N, ST PETERSBURG, FL 33713-5914
(727) 272-9119
(727) 202-8240
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109455
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017298400
—
FL
01
—
AV9RK
BCBS
FL
Enumeration date
03/30/2016
Last updated
06/04/2025
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