Provider Demographics
NPI:1760196299
Name:PARRA-MUNOZ, CAROLINA (PTA)
Entity Type:Individual
Prefix:
First Name:CAROLINA
Middle Name:
Last Name:PARRA-MUNOZ
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14229 LAKE PRESERVE BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-4447
Mailing Address - Country:US
Mailing Address - Phone:862-262-9311
Mailing Address - Fax:407-537-9772
Practice Address - Street 1:12064 SPRITE LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-6593
Practice Address - Country:US
Practice Address - Phone:321-303-6276
Practice Address - Fax:407-537-9772
Is Sole Proprietor?:No
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA24898225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant