Carl C. Gittens MD PA

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

ME53378 Issued in FL

Legal business name

CARL C. GITTENS MD PA

Practice address

789 SW Federal Hwy
Suite 212
Stuart, FL 34994-2962

Phone

(772) 215-5905

NPI assigned

Oct 20, 2014

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, M.D.

Title

President

Phone

(772) 215-5905

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Carl C. Gittens MD PA Other name

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501632000000",
    "number": "1790189728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 SW FEDERAL HWY",
            "address_2": "SUITE 212",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 SW FEDERAL HWY",
            "address_2": "SUITE 212",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942962",
            "telephone_number": "772-215-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL C. GITTENS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2017-08-02",
        "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": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "ME53378",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "ME53378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "ME53378",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carl C. Gittens MD PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• 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.
• Jessica Carlucci, OT

• Substance Use Disorder Rehabilitation Clinic/Center in Stuart, FL
• Providers in Stuart, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; 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.