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Individual

MS. ANNIE CAROLINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2500 SW 107TH AVE STE 39, MIAMI, FL 33165-2492
(786) 631-3129
Mailing address
5811 SW 92ND CT, MIAMI, FL 33173-1663
(305) 833-9312

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17729
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
017563100
FL
05
1417290677
FL
Enumeration date
04/05/2013
Last updated
05/24/2024
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