Carolyn Indianos, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME156578 Issued in FL

Practice address

6484 Fort Caroline Rd
Jacksonville, FL 32277-2042

Phone

(904) 744-7300

Fax

(904) 722-4271

NPI assigned

Jun 8, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Care Partners Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Jacksonville, FL
  • NPI 1386147882
  NPD (past)
• Idelis Fedeslinda Arias de la Torre

  • General Practice Physician
  • Seffner, FL
  • NPI 1639747595

  Family Medicine

  NPD (past)
• Orlando Family Physicians, LLC

  • General Practice Physician
  • Orlando, FL
  • NPI 1912579673
  NPD (past)

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1992298608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "321-332-6947",
            "fax_number": "407-286-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6484 FORT CAROLINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322772042",
            "telephone_number": "904-744-7300",
            "fax_number": "904-722-4271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 Park St",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "FL",
            "postal_code": "337774632",
            "country_code": "US",
            "telephone_number": "727-397-1559",
            "fax_number": "727-391-0838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INDIANOS",
        "first_name": "CAROLYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME156578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Arce Indelicato, PH.D.
• Independence Youth Center
• Independent Feeding Device, LLC
• Independent Pediatricians of North FL Inc
• Indian Rehabilitation Center, Inc
• Indigo Art Center Inc
• Indigo Art Therapy Studio LLC
• Jenna Marie Indingaro, CRNA
• Lori Indriolo, PHARMD
• Klaudia Ruby Inesta

• Family Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.