| Street | 12500 W Sunrise Blvd | ||
| City/Town | Sunrise | ||
| State/Province/Region | Florida | ||
| Zip/Postal Code | 33323 | ||
| Phone Number | (954) 851-1000 | ||
| Country | United States |
| Full Name | Bruce Carter Jr. | ||
| Gender | male | ||
| Birthday | 1975-09-15 | ||
| Social Security Number | 577-53-6383 |
| Credit card brand | JCB | ||
| Credit card number | 3579127104077413 | ||
| Expire | 2031/12 | ||
| CVV | 193 |