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NPI Code Detail

MEDICARE: CAROLINA RAUDEZ

MEDICARE: CAROLINA RAUDEZ
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
1363LF0000XFamily Nurse PractitionerARNP9311223FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598202517
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINA RAUDEZ
Provider Business Mailing Address
First Line : 12245 CROTON WAY
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33026-3647
Country : US
Telephone Number : 305-310-8084
Fax Number :
Provider Business Practice Location Address
First Line : 6517 TAFT ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33024-4062
Country : US
Telephone Number : 954-983-9191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2017
Last Update Date : 03/23/2020

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Directions to “ CAROLINA RAUDEZ ” Practice Location

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