Individual
CARTER GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8606 HERONS COVE PL, TAMPA, FL 33647-2497
(813) 428-0804
Mailing address
8606 HERONS COVE PL, TAMPA, FL 33647-2497
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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