Provider Demographics
NPI:1821087693
Name:ARNOLD P CARTER MD PA
Entity Type:Organization
Organization Name:ARNOLD P CARTER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DUSTY
Authorized Official - Middle Name:R
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-949-9595
Mailing Address - Street 1:2925 AVENTURA BLVD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3108
Mailing Address - Country:US
Mailing Address - Phone:305-949-9595
Mailing Address - Fax:305-935-1717
Practice Address - Street 1:2925 AVENTURA BLVD
Practice Address - Street 2:SUITE 303
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-3108
Practice Address - Country:US
Practice Address - Phone:305-949-9595
Practice Address - Fax:305-935-1717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-14
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00249972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL057698100Medicaid
FL92516Medicare PIN
FL057698100Medicaid