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NPI Code Detail

MEDICARE: CAROLINA ESTRADA

MEDICARE: CAROLINA ESTRADA
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
1222Q00000XDevelopmental Therapist
2104100000XSocial Worker

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 : 1215666532
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINA ESTRADA
Provider Business Mailing Address
First Line : 650 W NEW YORK AVE
Second Line :
City : DELAND
State : FL
Zip : 32720-5239
Country : US
Telephone Number : 386-873-3658
Fax Number :
Provider Business Practice Location Address
First Line : 650 W NEW YORK AVE
Second Line :
City : DELAND
State : FL
Zip : 32720-5239
Country : US
Telephone Number : 386-873-3658
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2022
Last Update Date : 10/07/2025

Similar Medicare Providers

1841771821 — MRS. ASHLEY TAYLOR
Practice Location Address:
650 W NEW YORK AVE
DELAND, FL
32720-5239
Practice Phone: 386-846-3671
Practice Fax:
1326183377 — EASTERSEALS NORTHEAST CENTRAL FLORIDA
Practice Location Address:
650 W NEW YORK AVE
DELAND, FL
32720-5239
Practice Phone: 386-255-4568
Practice Fax: 386-258-7677
1952055014 — JENNIFER L THOMAS
Practice Location Address:
650 W NEW YORK AVE
DELAND, FL
32720-5239
Practice Phone: 386-846-3671
Practice Fax:
1891546065 — EASTERSEALS NORTHEAST CENTRAL FLORIDA, INC.
Practice Location Address:
650 W NEW YORK AVE
DELAND, FL
32720-5239
Practice Phone: 386-255-4568
Practice Fax: 386-258-7677
1699526137 — MEGAN ERICKSON
Practice Location Address:
650 W NEW YORK AVE
DELAND, FL
32720-5239
Practice Phone: 386-848-9591
Practice Fax:
1053165746 — ANGELA LONGACRE
Practice Location Address:
650 W NEW YORK AVE
DELAND, FL
32720-5239
Practice Phone: 386-262-1907
Practice Fax:

Directions to “ CAROLINA ESTRADA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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