Provider Demographics
NPI:1790800860
Name:CARO, JOYCELL (LMT, AP)
Entity Type:Individual
Prefix:MS
First Name:JOYCELL
Middle Name:
Last Name:CARO
Suffix:
Gender:F
Credentials:LMT, AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14816 NW 89TH ST
Mailing Address - Street 2:
Mailing Address - City:ALACHUA
Mailing Address - State:FL
Mailing Address - Zip Code:32615-5800
Mailing Address - Country:US
Mailing Address - Phone:386-462-7993
Mailing Address - Fax:
Practice Address - Street 1:1135 NW 23RD AVE STE F
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-3449
Practice Address - Country:US
Practice Address - Phone:352-376-8410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1149171100000X
FLMA0020616225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171100000XOther Service ProvidersAcupuncturist
Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist