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NPI Code Detail

MEDICARE: CAROLINA AVILA PSY.D.

MEDICARE:   CAROLINA  AVILA  PSY.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
1103T00000XPsychologistPY9143FL
2103TC2200XClinical Child & Adolescent PsychologistPY9143FL

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 : 1295083376
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINA AVILA PSY.D.
Provider Business Mailing Address
First Line : 1695 NW 9TH AVE STE 2516
Second Line :
City : MIAMI
State : FL
Zip : 33136-1409
Country : US
Telephone Number : 305-355-8375
Fax Number : 305-355-8095
Provider Business Practice Location Address
First Line : 1695 NW 9TH AVE STE 2516
Second Line :
City : MIAMI
State : FL
Zip : 33136-1409
Country : US
Telephone Number : 305-355-8375
Fax Number : 305-355-8095
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2012
Last Update Date : 02/09/2026

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Directions to “ CAROLINA AVILA PSY.D.” Practice Location

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