Provider Demographics
NPI:1144584764
Name:CARTER, TERRENCE (MD)
Entity Type:Individual
Prefix:DR
First Name:TERRENCE
Middle Name:
Last Name:CARTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:TERRENCE
Other - Middle Name:J
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4401 S ORANGE AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-6934
Mailing Address - Country:US
Mailing Address - Phone:407-207-5717
Mailing Address - Fax:407-245-1423
Practice Address - Street 1:4401 S ORANGE AVE STE 108
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-6934
Practice Address - Country:US
Practice Address - Phone:407-207-5717
Practice Address - Fax:407-245-1423
Is Sole Proprietor?:No
Enumeration Date:2012-06-28
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA95740207V00000X
IL125.061683207V00000X
FLME 127743207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology