Provider Demographics
NPI:1730997495
Name:SINCLAIR, CAROLINE ROSEMARIE
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:ROSEMARIE
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 780388
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32878-0388
Mailing Address - Country:US
Mailing Address - Phone:407-924-1541
Mailing Address - Fax:321-206-0803
Practice Address - Street 1:10967 LAKE UNDERHILL RD STE 131
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-4455
Practice Address - Country:US
Practice Address - Phone:407-924-1541
Practice Address - Fax:321-206-0803
Is Sole Proprietor?:No
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
376J00000X
FL374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker