Provider Demographics
NPI:1043098304
Name:MULLINGS, KAREN V
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:V
Last Name:MULLINGS
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 1:308 REGAL DOWNS CIR
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-4016
Mailing Address - Country:US
Mailing Address - Phone:407-844-7432
Mailing Address - Fax:
Practice Address - Street 1:308 REGAL DOWNS CIR
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-4016
Practice Address - Country:US
Practice Address - Phone:407-844-7432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)