Carl C Gittens MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME53378 Issued in FL

Legal business name

CARL C GITTENS MD PA

Practice address

611 SW Federal Hwy Ste E
Stuart, FL 34994-2925

Phone

(772) 288-4111

Fax

(772) 905-3336

NPI assigned

Sep 19, 2007

Last updated

Oct 27, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carl C Gittens, MDNPI 1699876870

Title

President

Phone

(772) 215-5905

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carl Carrington Fitzgeral Gittens Sr., M.D.

  • Internal Medicine Physician
  • Stuart, FL
  • NPI 1699876870
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1598951949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 SW FEDERAL HWY STE E",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942925",
            "telephone_number": "772-288-4111",
            "fax_number": "772-905-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SW FEDERAL HWY STE E",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942925",
            "telephone_number": "772-288-4111",
            "fax_number": "772-905-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL C GITTENS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "GITTENS",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-215-5905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME53378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyssette Lourdes Cardona-Bonet, M.D.
• Elizabeth Cardoso Fabelo
• Michael F Carelli, O.D.
• Rashawnda Carey
• Caring Professionals Unlimited
• Carl C. Gittens MD PA
• Darling Ann Carl
• Camryn Eva Carlson
• William Carlson
• William E Carlson, M.D.

• Internal Medicine Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.