Provider Demographics
NPI:1265406185
Name:LAMMERT, CARTIER PATRICK (ARNP)
Entity type:Individual
Prefix:MR
First Name:CARTIER
Middle Name:PATRICK
Last Name:LAMMERT
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 COUNCIL MOORE RD
Mailing Address - Street 2:
Mailing Address - City:CRAWFORDVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32327-3117
Mailing Address - Country:US
Mailing Address - Phone:850-926-7105
Mailing Address - Fax:850-926-2034
Practice Address - Street 1:15 COUNCIL MOORE RD
Practice Address - Street 2:
Practice Address - City:CRAWFORDVILLE
Practice Address - State:FL
Practice Address - Zip Code:32327-3117
Practice Address - Country:US
Practice Address - Phone:850-926-7105
Practice Address - Fax:850-926-2034
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3409522207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL305415200Medicaid
FLP98495Medicare UPIN
FLY036YZMedicare Oscar/Certification
FLY036YXMedicare Oscar/Certification