Provider Demographics
NPI:1255127213
Name:NOONE, CAROLINE (LAC)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:NOONE
Suffix:
Gender:
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7516 NOVA DR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33317-7001
Mailing Address - Country:US
Mailing Address - Phone:954-292-2473
Mailing Address - Fax:
Practice Address - Street 1:7516 NOVA DR
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33317-7001
Practice Address - Country:US
Practice Address - Phone:954-292-2473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4066171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist