Mr. Gary Wayne Cater
Pediatrician Neonatal-Perinatal Doctor
400 Health Park Blvd
St Augustine
, Florida 32086-5784
Mr. Gary Wayne Cater
Pediatrician Neonatal-Perinatal Doctor
400 Health Park Blvd
St Augustine
, Florida 32086-5784
(904) 244-3425
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About
Features
Specialties
- Pediatrician
- Neonatal-Perinatal Doctor
Languages spoken
- English
Location
First Address
- Mr. Gary Wayne Cater
- Po Box 44008 Provider Enrollment
- Jacksonville, FL
- Zip : 32231-4008
- Fax : (904) 244-3425
- Phone : (904) 819-4478
Second Address
- Mr. Gary Wayne Cater
- 400 Health Park Blvd
- St Augustine, FL
- Zip : 32086-5784
- Phone : (904) 819-4478
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | OS4397 | FL |
| Y | 2080N0001X | Neonatal-Perinatal Doctor | OS4397 | FL |
National Provider Identifier
| NPI | 1033254214 |
|---|---|
| Provider Name | Mr. Gary Wayne Cater |
| First Address | Jacksonville, FL 32231-4008 |
| Second Address | St Augustine, FL 32086-5784 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2007 |
| Last Update Date | 01/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 276220000 | (05) | FL |
| G18564 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.