Individual
CAROLE INNOCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12401 ORANGE DR, SUITE 219, DAVIE, FL 33330-4341
(954) 862-1707
Mailing address
255 GEORGIA AVE, FORT LAUDERDALE, FL 33312-1139
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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