Provider Demographics
NPI:1467832121
Name:STRAKER, CAROLINE PRICE (MD)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:PRICE
Last Name:STRAKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1661 RIVERSIDE AVE APT 209
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32204-4023
Mailing Address - Country:US
Mailing Address - Phone:904-414-2909
Mailing Address - Fax:
Practice Address - Street 1:1661 RIVERSIDE AVE APT 209
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-4023
Practice Address - Country:US
Practice Address - Phone:904-414-2909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-08
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME132551207Q00000X
FLTRN 21856207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine