Individual
VIVIAN CARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-3040
(321) 841-3049
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-3040
(321) 841-3049
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9108292
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013880200
—
FL
01
—
PA9108292
MEDICAL LICENSE
FL
Enumeration date
10/20/2014
Last updated
11/15/2016
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