Provider Demographics
NPI:1841495496
Name:VEY, CARRIE GARRETSON (MD)
Entity type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:GARRETSON
Last Name:VEY
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 864074
Mailing Address - Street 2:HALIFAX HEALTHCARE SYSTEMS, INC.
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32886-4704
Mailing Address - Country:US
Mailing Address - Phone:386-254-4165
Mailing Address - Fax:386-258-4891
Practice Address - Street 1:201 N CLYDE MORRIS BLVD
Practice Address - Street 2:STE 200
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-2724
Practice Address - Country:US
Practice Address - Phone:386-947-4665
Practice Address - Fax:386-258-4891
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2011-10-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME99494207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL280576600Medicaid
FLAI868ZMedicare PIN