Provider Demographics
NPI:1346351400
Name:PATRICK A CARRIER MDPA
Entity Type:Organization
Organization Name:PATRICK A CARRIER MDPA
Other - Org Name:PATRICK A CARRIER MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:CARRIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-822-4729
Mailing Address - Street 1:2200 16TH ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33704-3106
Mailing Address - Country:US
Mailing Address - Phone:727-822-4729
Mailing Address - Fax:727-894-5744
Practice Address - Street 1:2200 16TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33704-3106
Practice Address - Country:US
Practice Address - Phone:727-822-4729
Practice Address - Fax:727-894-5744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0010206207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
181886526OtherRAILROAD MEDICARE
FLD56129Medicare UPIN