Provider Demographics
NPI:1558982447
Name:CARRE, HAENDEL (MD)
Entity Type:Individual
Prefix:DR
First Name:HAENDEL
Middle Name:
Last Name:CARRE
Suffix:
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 1:12209 76TH RD N
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33412-2277
Mailing Address - Country:US
Mailing Address - Phone:561-412-8027
Mailing Address - Fax:561-412-8027
Practice Address - Street 1:389 ROUTE DE DELMAS
Practice Address - Street 2:
Practice Address - City:DELMAS
Practice Address - State:PORT AU PRINCE
Practice Address - Zip Code:HT6120
Practice Address - Country:HT
Practice Address - Phone:561-412-8027
Practice Address - Fax:561-412-8027
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-01
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9323474163W00000X
ZZ816207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered Nurse