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NPI Code Detail

MEDICARE: DR. CAROLINA E FIAMENGO M.D.

MEDICARE: DR. CAROLINA E FIAMENGO M.D.
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
1208000000XPediatrics PhysicianME114274FL

General Provider Information

NPI Number : 1275851826
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROLINA E FIAMENGO M.D.
Provider Business Mailing Address
First Line : 285 SE 5TH AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33483-5206
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 285 SE 5TH AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33483-5206
Country : US
Telephone Number : 561-272-8991
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2010
Last Update Date : 10/03/2024

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