Individual
MARY CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 NW 174TH ST, MIAMI GARDENS, FL 33055-3825
(305) 628-8957
Mailing address
3801 NW 174TH ST, MIAMI GARDENS, FL 33055-3825
(305) 628-8957
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
FRC 0108-2277-97
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230215200
MEDICAID PROVIDER NUMBER
FL
Enumeration date
05/20/2008
Last updated
05/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us