Provider Demographics
NPI:1205051182
Name:TAUB, CAROLE (MD)
Entity type:Individual
Prefix:
First Name:CAROLE
Middle Name:
Last Name:TAUB
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 1:2450 KENSINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33325-5242
Mailing Address - Country:US
Mailing Address - Phone:917-757-8655
Mailing Address - Fax:
Practice Address - Street 1:1779 N UNIVERSITY DR STE 101
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-0929
Practice Address - Country:US
Practice Address - Phone:954-963-0888
Practice Address - Fax:954-964-6431
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME133130207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology