Individual
KACI CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
991 E DEL WEBB BLVD, SUN CITY CENTER, FL 33573-6669
(813) 978-9700
Mailing address
11621 DUBLIN GRAFTON DR, RIVERVIEW, FL 33579-3202
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA34557
FL
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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