Provider Demographics
NPI:1154305274
Name:CARLIN, FAITH (MD)
Entity Type:Individual
Prefix:DR
First Name:FAITH
Middle Name:
Last Name:CARLIN
Suffix:
Gender:F
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 25317
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33622-5317
Mailing Address - Country:US
Mailing Address - Phone:813-286-0033
Mailing Address - Fax:
Practice Address - Street 1:5002 W LEMON ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-1104
Practice Address - Country:US
Practice Address - Phone:813-286-0033
Practice Address - Fax:813-286-1806
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-01
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME111188207V00000X, 207V00000X, 208M00000X
HI10601207V00000X
WAMD60064089207V00000X
NC138730207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFT527WOtherMEDICARE
FL004418100Medicaid
WA0247245OtherSTATE L&I
WA0253998OtherSTATE L&I
HI558843Medicaid
WAG8880055Medicare PIN