Carroll, Diana Lynn

Carroll, Diana Lynn is an individual health care provider with primary practice located at 1030 Ne 179Th St , North Miami Beach FL 33162-1216. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Carroll, Diana Lynn can be contacted via phone (305) 921-9257.

Contact Information

Primary practice address
1030 Ne 179Th St North Miami Beach FL 33162-1216
Phone: (305) 921-9257
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2156 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 2156 Florida

Profile Details

NPI number 1134309560
LBN Legal business name Carroll, Diana Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2007
Last updated May 7th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134309560 NPPES
Florida MEDICAID 891184300

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