Provider Demographics
NPI:1356503015
Name:CARON OF FLORIDA, INC
Entity Type:Organization
Organization Name:CARON OF FLORIDA, INC
Other - Org Name:CARON RENAISSANCE/OCEAN DRIVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR DIRECTOR PATIENT FINANCIAL SERVI
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CURRENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-743-6141
Mailing Address - Street 1:PO BOX 150
Mailing Address - Street 2:
Mailing Address - City:WERNERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19565-0150
Mailing Address - Country:US
Mailing Address - Phone:800-678-2332
Mailing Address - Fax:
Practice Address - Street 1:4575 LINTON BLVD
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-1326
Practice Address - Country:US
Practice Address - Phone:800-678-2332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RICHARD J CARON FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0950AD589801324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility