Provider Demographics
NPI:1447394572
Name:CRAIG CARTER GOLF CARS, INC.
Entity Type:Organization
Organization Name:CRAIG CARTER GOLF CARS, INC.
Other - Org Name:CRAIG CARTER MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-371-9349
Mailing Address - Street 1:4501 NW 6TH ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-1743
Mailing Address - Country:US
Mailing Address - Phone:352-371-9349
Mailing Address - Fax:352-371-0802
Practice Address - Street 1:4501 NW 6TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-1743
Practice Address - Country:US
Practice Address - Phone:352-371-9349
Practice Address - Fax:352-371-0802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1858332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1281840001Medicare ID - Type UnspecifiedMEDICARE