Healthcare Provider Details

I. General information

NPI: 1760169874
Provider Name (Legal Business Name): CAROLINE STEINER CUENTRO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2023
Last Update Date: 07/16/2024
Certification Date: 07/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4850 W OAKLAND PARK BLVD STE 136
LAUDERDALE LAKES FL
33313-7277
US

IV. Provider business mailing address

8400 NW 33RD ST STE 201
DORAL FL
33122-1937
US

V. Phone/Fax

Practice location:
  • Phone: 844-665-4827
  • Fax:
Mailing address:
  • Phone: 844-665-4827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9118459
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: