Provider Demographics
NPI:1427162486
Name:CARTER, WILLIAM L (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:L
Last Name:CARTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2706 DR MARTIN LUTHER KING JR BLVD W
Mailing Address - Street 2:SUITE B
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6360
Mailing Address - Country:US
Mailing Address - Phone:813-875-4813
Mailing Address - Fax:813-875-5459
Practice Address - Street 1:2706 DR MARTIN LUTHER KING JR BLVD W
Practice Address - Street 2:SUITE B
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6360
Practice Address - Country:US
Practice Address - Phone:813-875-4813
Practice Address - Fax:813-875-5459
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME430412082S0099X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2082S0099XOtherPLASTIC SURGERY WITHIN