MEDICARE: CARON OF FLORIDA, INC

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	324500000X	Substance Abuse Rehabilitation Facility	0950AD589801	FL

General Provider Information

NPI Number	:	1356503015
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARON OF FLORIDA, INC

Provider Business Mailing Address
First Line	:	PO BOX 150
Second Line	:
City	:	WERNERSVILLE
State	:	PA
Zip	:	19565-0150
Country	:	US
Telephone Number	:	800-678-2332
Fax Number	:	484-345-4318

Provider Business Practice Location Address
First Line	:	4575 LINTON BLVD
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-1326
Country	:	US
Telephone Number	:	800-678-2332
Fax Number	:

Authorized Official
Title or Position	:	SUPERVISOR, BILLING
Name	:	MRS. LISA MARIE TROUTMAN
Credential	:
Telephone Number	:	610-743-6246

Provider Enumeration Date	:	06/25/2008
Last Update Date	:	02/09/2026

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