Individual
BRYAN PATRICK CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1149 MAIN ST, THE VILLAGES, FL 32159-7721
(352) 674-2080
(352) 674-2177
Mailing address
8575 NE 138TH LN, SUITE 203, LADY LAKE, FL 32159-8996
(352) 674-2080
(352) 674-2177
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102219
FL
Other
Enumeration date
08/01/2005
Last updated
05/05/2017
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