Provider Demographics
NPI:1134312200
Name:KARCSMAR, TERESA M (ARNP)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:M
Last Name:KARCSMAR
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1849 WATERMERE LANE
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-2423
Mailing Address - Country:US
Mailing Address - Phone:407-625-4744
Mailing Address - Fax:407-876-4259
Practice Address - Street 1:1002 S. DILLARD STREET
Practice Address - Street 2:SUITE 102
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-3991
Practice Address - Country:US
Practice Address - Phone:407-877-3577
Practice Address - Fax:407-877-8495
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9172831363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS81197Medicare UPIN