MEDICARE: DR. KAROLINA RINCON DMD

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	1223G0001X	General Practice Dentistry	DN22932	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790293595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAROLINA RINCON DMD

Provider Business Mailing Address
First Line	:	3355 LAKESIDE DR
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33328-1981
Country	:	US
Telephone Number	:	305-781-8353
Fax Number	:

Provider Business Practice Location Address
First Line	:	1196 E STATE ROAD 434
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-2715
Country	:	US
Telephone Number	:	305-781-8353
Fax Number	:

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

Provider Enumeration Date	:	01/15/2018
Last Update Date	:	06/03/2021

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