Individual
CAROLINA KAACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC, FNP-
Contact information
Practice address
1411 CORAL WAY, MIAMI, FL 33145-2876
(305) 204-9355
Mailing address
4474 WESTON RD # 1097, DAVIE, FL 33331-3195
(754) 333-1765
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP9298840
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9298840
FL
Other
Enumeration date
09/05/2017
Last updated
08/03/2023
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