Provider Demographics
NPI:1487078622
Name:MAHARAJH, CAROLY (ARNP)
Entity type:Individual
Prefix:MRS
First Name:CAROLY
Middle Name:
Last Name:MAHARAJH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:CAROLY
Other - Middle Name:
Other - Last Name:VIDAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7000 NW 41ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6817
Mailing Address - Country:US
Mailing Address - Phone:954-283-7361
Mailing Address - Fax:954-766-0054
Practice Address - Street 1:7000 NW 41ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-6817
Practice Address - Country:US
Practice Address - Phone:954-283-7361
Practice Address - Fax:954-766-0054
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-07
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9211505363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily