Individual
CHARMAINE A. CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12450 ROOSEVELT BLVD N, SUITE 308, ST PETERSBURG, FL 33716-1902
(727) 572-0900
(727) 573-1428
Mailing address
PO BOX 12868, ST PETERSBURG, FL 33733-2868
(727) 824-8357
(727) 824-3132
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME65450
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374291100
—
FL
Enumeration date
09/19/2005
Last updated
11/20/2014
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