Carter, Shawn Stafford

Carter, Shawn Stafford is an individual health care provider with primary practice located at 1970 Golf St , Sarasota FL 34236-6908. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Nuclear Medicine is his primary health care specialty. Carter, Shawn Stafford can be contacted via phone (855) 327-6003.

Contact Information

Primary practice address
1970 Golf St Sarasota FL 34236-6908
Phone: (855) 327-6003
Fax: (855) 271-8072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 2009-0003 North Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME119355 Florida
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X ME119355 Florida

Profile Details

NPI number 1659582286
LBN Legal business name Carter, Shawn Stafford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Sep 8th, 2022 - about 3 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 1659582286 NPPES
Florida Other ITM0X FLORIDA BCBS
Florida MEDICAID 017514000 FLORIDA BCBS
Florida Other OU964 FLORIDA BCBS

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