Provider Demographics
NPI:1144212135
Name:CARR, ORLON VERE III (MD)
Entity Type:Individual
Prefix:DR
First Name:ORLON
Middle Name:VERE
Last Name:CARR
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1673
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33468-1673
Mailing Address - Country:US
Mailing Address - Phone:561-747-7377
Mailing Address - Fax:561-743-7616
Practice Address - Street 1:210 JUPITER LAKES BLVD STE 5103
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7192
Practice Address - Country:US
Practice Address - Phone:561-747-7377
Practice Address - Fax:561-743-7616
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0037479207QA0000X, 207QA0505X, 207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AC9744485OtherDEA
F26538Medicare UPIN
AC9744485OtherDEA
ME0037479Medicare ID - Type Unspecified