Healthcare Provider Details

I. General information

NPI: 1427976745
Provider Name (Legal Business Name): CARLINE FILEUS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14038 ASTER AVE
WELLINGTON FL
33414-2109
US

IV. Provider business mailing address

14038 ASTER AVE
WELLINGTON FL
33414-2109
US

V. Phone/Fax

Practice location:
  • Phone: 561-324-6291
  • Fax:
Mailing address:
  • Phone: 561-324-6291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA17582
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: