CARL C. GITTENS MD PA NPI 1790189728

NPI Information

NPI: 1790189728
Provider Name: CARL C. GITTENS MD PA
Classification: Clinic/Center - 261QR0405X
Specialization: Rehabilitation, Substance Use Disorder
Entity Type: Organization
Other Name: CARL C. GITTENS MD PA
Address: 789 SW FEDERAL HWY
SUITE 212
STUART, FL
ZIP 34994
Phone: (772) 215-5905

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NPI Details

CARL C. GITTENS MD PA is a rehabilitation and substance use disorder clinic center in Stuart, FL. CARL C. GITTENS MD PA NPI is 1790189728. The provider is registered as an organization entity type.
The provider Other Name Is Carl C. Gittens Md Pa.

The provider's business location address is:

789 SW FEDERAL HWY
SUITE 212
STUART, FL
ZIP 34994-962
Phone: (772) 215-5905

The provider's authorized official is Carl C. Gittens .
The authorized official title is President and has the following contact phone number (772) 215-5905.

The enumeration date for this NPI number is 10/20/2014 and was last updated on 8/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health		ME53378	FLORIDA	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	ME53378	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ME53378	OTHER	FLORIDA	LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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