| Carl C. Gittens Md Pa | |
|
789 Sw Federal Hwy Ste 212 Stuart FL 34994-2962 | |
| (772) 215-5905 | |
| (772) 905-3336 |
| Full Name | Carl C. Gittens Md Pa |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 789 Sw Federal Hwy Ste 212, Stuart, Florida |
| Authorized Official Name and Position | Carl C. Gittens (PRESIDENT) |
| Authorized Official Contact | 7722155905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carl C. Gittens Md Pa 789 Sw Federal Hwy Ste 212 Stuart FL 34994-2962 Ph: (772) 215-5905 | Carl C. Gittens Md Pa 789 Sw Federal Hwy Ste 212 Stuart FL 34994-2962 Ph: (772) 215-5905 |
| NPI Number | 1013311844 |
|---|---|
| Provider Enumeration Date | 10/22/2014 |
| Last Update Date | 04/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013311844 | NPI | - | NPPES |
| ME53378 | Other | FL | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | ME53378 (Florida) | Primary |
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