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Individual

LUTHER ICHIRO CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
125 BAPTIST WAY STE 3A, PENSACOLA, FL 32503-2274
(448) 227-6500
(850) 444-1755
Mailing address
125 BAPTIST WAY STE 3A, PENSACOLA, FL 32503-2274
(448) 227-6500
(850) 857-1747

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
31078
AL
207RI0011X
Interventional Cardiology Physician
Primary
ME107916
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002617200
FL
05
1710062732
AL
Enumeration date
10/26/2006
Last updated
03/19/2024
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