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Individual

ANDREW CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
841 PRUDENTIAL DR STE 140, JACKSONVILLE, FL 32207-8363
(904) 202-4200
Mailing address
841 PRUDENTIAL DR STE 140, JACKSONVILLE, FL 32207-8363

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28658
FL

Other

Enumeration date
11/08/2018
Last updated
11/08/2018
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