=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346942182
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CAROL PARAS MD PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/17/2023
-----------------------------------------------------
Last Update Date | 03/17/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8832 QUIET INLET LN
-----------------------------------------------------
City | BOCA RATON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33496-5203
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-504-0490
-----------------------------------------------------
Fax | 561-961-0082
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9858 CLINT MOORE RD STE 111
-----------------------------------------------------
City | BOCA RATON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33496-1044
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-504-0490
-----------------------------------------------------
Fax | 561-961-0082
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. CAROL PARAS
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 561-504-0490
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------