Individual
RANDALL ALLEN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6909 W WATERS AVE, TAMPA, FL 33634-2213
(813) 999-1163
(813) 999-1073
Mailing address
6909 W WATERS AVE, TAMPA, FL 33634-2213
(813) 999-1163
(813) 999-1073
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1045
OK
363AM0700X
Medical Physician Assistant
Primary
PA9118770
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1045
OKLAHOMA BOARD OF MEDICAL LICENSURE
OK
Enumeration date
06/22/2006
Last updated
02/27/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us