Mildred Enid Caraballo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8527 Issued in FL

Practice address

701 N Wilder Rd
Plant City, FL 33566-7547

Phone

(813) 752-3611

NPI assigned

Nov 24, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1821692328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 DOCKSIDE DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335944476",
            "telephone_number": "813-431-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N WILDER RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335667547",
            "telephone_number": "813-752-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARABALLO",
        "first_name": "MILDRED",
        "middle_name": "ENID",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "8527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8137526311",
            "affiliation": "N",
            "endpointDescription": "Cell",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "701 N Wilder Rd",
            "city": "Plant City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335667547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katherine Elaine Cancel, APRN
• Candis Counseling & Therapeutic Services LLC
• Candace Lynn Cannon
• Jethro Angelo Capati
• Tiffany Michelle Capers
• Camili Carballo Flores
• Care 24 LLC
• Care to Go Home Care Corp.
• Caring Concepts Inc
• Caring With a Gentle Heart Inc. (Trust Care Transport)

• Physical Therapist in Plant City, FL
• Providers in Plant City, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.