Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | ME0037479 | FL |
N | 207QG0300X | Family Doctor - Geriatric Medicine | ME0037479 | FL |
NPI | 1144212135 |
---|---|
Provider Name | Dr. Orlon Vere Carr III |
First Address | Jupiter, FL 33468-1673 |
Second Address | Jupiter, FL 33458-7192 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2005 |
Last Update Date | 11/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
AC9744485 | DEA (01) | |
F26538 | (02) |