Provider Demographics
NPI:1821200718
Name:KARTER, QUINN (DO)
Entity Type:Individual
Prefix:DR
First Name:QUINN
Middle Name:
Last Name:KARTER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 VISTA PKWY
Mailing Address - Street 2:4019
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-2706
Mailing Address - Country:US
Mailing Address - Phone:561-386-9708
Mailing Address - Fax:561-687-9637
Practice Address - Street 1:2101 VISTA PKWY
Practice Address - Street 2:4019
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-2706
Practice Address - Country:US
Practice Address - Phone:561-386-9708
Practice Address - Fax:561-687-9637
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0S8647207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL267899300Medicaid
FLU1389AMedicare PIN
FLH94816Medicare UPIN