Provider Demographics
NPI:1336891365
Name:CARTER, PATRICIA H
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:H
Last Name:CARTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 SW 121ST WAY
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-1184
Mailing Address - Country:US
Mailing Address - Phone:352-226-5111
Mailing Address - Fax:
Practice Address - Street 1:244 SW 121ST WAY
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-1184
Practice Address - Country:US
Practice Address - Phone:352-226-5111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-20
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services