MEDICARE: IRMA STELLA CARO PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT12228	FL

General Provider Information

NPI Number	:	1083655930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRMA STELLA CARO PT

Provider Business Mailing Address
First Line	:	4483 NW 36TH ST
Second Line	:
City	:	MIAMI SPRINGS
State	:	FL
Zip	:	33166-7260
Country	:	US
Telephone Number	:	305-979-1945
Fax Number	:

Provider Business Practice Location Address
First Line	:	1448 N KROME AVE STE 101
Second Line	:
City	:	FLORIDA CITY
State	:	FL
Zip	:	33034-2402
Country	:	US
Telephone Number	:	305-979-1945
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	06/25/2008

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Directions to “ IRMA STELLA CARO PT” Practice Location

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