Provider Demographics
NPI:1336999135
Name:CAROLINI, GEORGETTE (CSFA)
Entity type:Individual
Prefix:MRS
First Name:GEORGETTE
Middle Name:
Last Name:CAROLINI
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12361 HAGEN RANCH RD STE 5032068
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-4174
Mailing Address - Country:US
Mailing Address - Phone:305-799-7500
Mailing Address - Fax:
Practice Address - Street 1:12361 HAGEN RANCH RD # 5032068
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-4174
Practice Address - Country:US
Practice Address - Phone:954-557-8744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty