Provider Demographics
NPI:1093839656
Name:CARP, NEVINE M (MD)
Entity type:Individual
Prefix:DR
First Name:NEVINE
Middle Name:M
Last Name:CARP
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2623 S SEACREST BLVD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-7501
Mailing Address - Country:US
Mailing Address - Phone:561-374-7911
Mailing Address - Fax:561-734-8104
Practice Address - Street 1:2623 S SEACREST BLVD
Practice Address - Street 2:SUITE 208
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-7501
Practice Address - Country:US
Practice Address - Phone:561-374-7911
Practice Address - Fax:561-734-8104
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME80077207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL35663OtherBCBS
FL258944300Medicaid
FLE4043YMedicare PIN
FL35663OtherBCBS