Individual
MARK M CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4521 SHILOH MILL BLVD, JACKSONVILLE, FL 32246-1880
(904) 699-4337
Mailing address
4521 SHILOH MILL BLVD, JACKSONVILLE, FL 32246
(904) 699-4337
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD421030
PA
2085R0202X
Diagnostic Radiology Physician
Primary
ME47719
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061625700
—
FL
Enumeration date
07/18/2006
Last updated
08/27/2014
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