Organization
MARC S CARP PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC S CARP MD (EMPLOYEE)
(305) 949-2020
Entity
Organization
Contact information
Practice address
1400 NE MIAMI GARDENS DR, STE 221, NORTH MIAMI BEACH, FL 33179-4844
(305) 949-2020
(305) 949-6715
Mailing address
PO BOX 848593, BOSTON, MA 02284-8593
(305) 468-4180
(305) 595-1013
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0038332
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049699500
—
FL
01
—
22472
WELLCARE/STAYWELL
FL
01
—
2499150
GHI
FL
01
—
3450134
AETNA
FL
01
—
95735
BLUECROSS BLUESHIELD
FL
01
—
P00120815
RAILROAD MEDICARE
FL
Enumeration date
09/22/2005
Last updated
04/15/2009
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