Carter, Eric Lane Khaled

Carter, Eric Lane Khaled is an individual health care provider with primary practice located at 4211 Van Dyke Rd Ste 200 , Lutz FL 33558-8005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Carter, Eric Lane Khaled can be contacted via phone (813) 321-6237.

Contact Information

Primary practice address
4211 Van Dyke Rd Ste 200 Lutz FL 33558-8005
Phone: (813) 321-6237
Fax: (813) 463-1801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME98126 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME98126 Florida

Profile Details

NPI number 1578755385
LBN Legal business name Carter, Eric Lane Khaled
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2007
Last updated Oct 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578755385 NPPES
Florida MEDICAID 0004473-00
Florida MEDICAID 000248200
Florida MEDICAID 001586700

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