Provider Demographics
NPI:1982704987
Name:CARTER, ANNE D (MD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:D
Last Name:CARTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 BOREN DR
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-2989
Mailing Address - Country:US
Mailing Address - Phone:407-292-2156
Mailing Address - Fax:407-241-2868
Practice Address - Street 1:1555 BOREN DR
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-2989
Practice Address - Country:US
Practice Address - Phone:407-292-2156
Practice Address - Fax:407-241-2868
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0050968174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
2079597OtherAETNA PPO
FL04875OtherBCBS-FL
FL63507300Medicaid
FL04875OtherBCBS-FL
FLD51125Medicare UPIN