MEDICARE: KATHY7 CARROLL

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
1	376J00000X	Homemaker

General Provider Information

NPI Number	:	1306791934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHY7 CARROLL

Provider Business Mailing Address
First Line	:	3339 SW CORNELL AVE
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-3427
Country	:	US
Telephone Number	:	772-214-5000
Fax Number	:	772-214-5000

Provider Business Practice Location Address
First Line	:	3339 SW CORNELL AVE
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-3427
Country	:	US
Telephone Number	:	772-214-5000
Fax Number	:	772-214-5000

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2026
Last Update Date	:	02/27/2026

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Directions to “ KATHY7 CARROLL ” Practice Location

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