Individual
CAROLINE PETITDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 SW 85TH AVE, NORTH LAUDERDALE, FL 33068-4736
(954) 916-7687
Mailing address
PO BOX 290815, DAVIE, FL 33329-0815
(754) 802-6276
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
FL
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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