Provider Demographics
NPI:1366877672
Name:ANTHONY, KAROLINA (MED)
Entity type:Individual
Prefix:MRS
First Name:KAROLINA
Middle Name:
Last Name:ANTHONY
Suffix:
Gender:F
Credentials:MED
Other - Prefix:MS
Other - First Name:KAROLINA
Other - Middle Name:
Other - Last Name:OLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17862 127 DR N
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33478
Mailing Address - Country:US
Mailing Address - Phone:201-893-6763
Mailing Address - Fax:
Practice Address - Street 1:17862 127TH DR N
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33478-4669
Practice Address - Country:US
Practice Address - Phone:201-893-6763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-05
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11412101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health