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Randall Allen Carter, PA-C
Medical Physician Assistant in Lutz, Florida
NPI 1073559373

Randall Allen Carter is a Medical Physician Assistant based in Moore, FL and is specialized in Medical. Randall Allen Carter practices in Lutz, FL and has the professional credentials of PA-C. The NPI Number for Randall Allen Carter is 1073559373 and holds a License No. PA9118770 (Florida).

The current practice location address for Randall Allen Carter is 17929 Hunting Bow Cir, Lutz, FL and can be reached out via phone at 813-792-8555.

Location: 17929 Hunting Bow Cir, Lutz, FL, 73160-7328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073559373
Provider Name
Randall Allen Carter
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
17929 Hunting Bow Cir, Lutz, FL, 73160-7328
Phone Number
813-792-8555
Fax Number
Provider Enumeration Date
06/22/2006
Last Update Date
06/15/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1045 01 OK OKLAHOMA BOARD OF MEDICAL LICENSURE
institution
Provider Business Practice Location Address Details
Address
17929 Hunting Bow Cir
City
Lutz
State
Florida
Zip
33558-5378
Phone Number
813-792-8555
Fax Number
person
Provider Business Mailing Address Details
Address
17929 Hunting Bow Cir
City
Lutz
State
Florida
Zip
33558-5378
Phone Number
813-792-8555
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA9118770 (Florida)
Definition
Definition to come...
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