Provider Demographics
NPI:1578932216
Name:RANGEL, CAROLINE E (PA-C)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:E
Last Name:RANGEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1905 CLINT MOORE RD
Mailing Address - Street 2:SUITE 309
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-2658
Mailing Address - Country:US
Mailing Address - Phone:561-988-8988
Mailing Address - Fax:561-912-1804
Practice Address - Street 1:1905 CLINT MOORE RD
Practice Address - Street 2:SUITE 309
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-2658
Practice Address - Country:US
Practice Address - Phone:561-988-8988
Practice Address - Fax:561-912-1804
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-23
Last Update Date:2015-12-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9108914363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant