Provider Demographics
NPI:1679017982
Name:RODRIGUEZ SCIUTTO, CARINA
Entity Type:Individual
Prefix:
First Name:CARINA
Middle Name:
Last Name:RODRIGUEZ SCIUTTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 NW 82ND AVE
Mailing Address - Street 2:APT 404
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1359
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:601 NW 82ND AVE
Practice Address - Street 2:APT 404
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1359
Practice Address - Country:US
Practice Address - Phone:954-488-1706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-06
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPMH1451101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health