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Dr. Xavier Jamaal Demetri Carty
Student in an Organized Health Care Education/Training Program in Immokalee, Florida
NPI 1326771395

Xavier Jamaal Demetri Carty is a Student in an Organized Health Care Education/Training Program based in Plantation, FL. Xavier Jamaal Demetri Carty practices in Immokalee, FL. The NPI Number for Xavier Jamaal Demetri Carty is 1326771395 and holds a License No. (Florida).

The current practice location address for Xavier Jamaal Demetri Carty is 1454 Madison Ave W, Immokalee, FL and can be reached out via phone at 440-381-5210.

Location: 1454 Madison Ave W, Immokalee, FL, 33322-5626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326771395
Provider Name
Xavier Jamaal Demetri Carty
Credential
Provider Entity Type
Individual
Gender
Male
Address
1454 Madison Ave W, Immokalee, FL, 33322-5626
Phone Number
440-381-5210
Fax Number
Provider Enumeration Date
07/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1454 Madison Ave W
City
Immokalee
State
Florida
Zip
34142-2200
Phone Number
440-381-5210
Fax Number
person
Provider Business Mailing Address Details
Address
1454 Madison Ave W
City
Immokalee
State
Florida
Zip
34142-2200
Phone Number
440-381-5210
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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