Provider Demographics
NPI:1124008172
Name:KAREN, ANDREW D (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:D
Last Name:KAREN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 DON WICKHAM DR STE 110
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-1980
Mailing Address - Country:US
Mailing Address - Phone:352-241-7275
Mailing Address - Fax:352-241-7281
Practice Address - Street 1:1900 DON WICKHAM DR STE 110
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-1980
Practice Address - Country:US
Practice Address - Phone:352-241-7275
Practice Address - Fax:352-241-7281
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME102731207V00000X
NJ25MA07549400207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME102731OtherMEDICAL LICENSE
FL000505100Medicaid
NJ098956Medicare UPIN
FL000505100Medicaid
FLME102731OtherMEDICAL LICENSE