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Individual

DR. ERIC LANE KHALED CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4211 VAN DYKE RD STE 200, LUTZ, FL 33558-8005
(813) 321-6237
(813) 463-1801
Mailing address
4211 VAN DYKE RD STE 200, LUTZ, FL 33558-8005
(813) 321-6237
(813) 463-1801

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME98126
FL
208M00000X
Hospitalist Physician
Primary
ME98126
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000248200
FL
05
0004473-00
FL
05
001586700
FL
Enumeration date
08/15/2007
Last updated
10/05/2022
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