Carl C Gittens Md Pa | |
611 Sw Federal Hwy Ste E Stuart FL 34994-2925 | |
(772) 288-4111 | |
(772) 905-3336 |
Full Name | Carl C Gittens Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 611 Sw Federal Hwy Ste E, Stuart, Florida |
Authorized Official Name and Position | Carl C Gittens (PRESIDENT) |
Authorized Official Contact | 7722155905 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Carl C Gittens Md Pa 611 Sw Federal Hwy Ste E Stuart FL 34994-2925 Ph: (772) 288-4111 | Carl C Gittens Md Pa 611 Sw Federal Hwy Ste E Stuart FL 34994-2925 Ph: (772) 288-4111 |
NPI Number | 1598951949 |
---|---|
Provider Enumeration Date | 09/19/2007 |
Last Update Date | 10/27/2021 |
Medicare PECOS PAC ID | 8820185242 |
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Medicare Enrollment ID | O20071101000541 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598951949 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME53378 (Florida) | Primary |
Provider Name | Carl C Gittens |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699876870 PECOS PAC ID: 0840384251 Enrollment ID: I20070917000114 |
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