Provider Demographics
NPI:1194011684
Name:GOLDEN, KAREN SUE (RN, LMT)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:SUE
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:RN, LMT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3608 W AZEELE ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-2839
Mailing Address - Country:US
Mailing Address - Phone:813-876-2285
Mailing Address - Fax:813-832-1810
Practice Address - Street 1:3608 W AZEELE ST
Practice Address - Street 2:SUITE 103
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-2839
Practice Address - Country:US
Practice Address - Phone:813-876-2285
Practice Address - Fax:813-832-1810
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-22
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL1349082163W00000X
FL00008073225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No163W00000XNursing Service ProvidersRegistered Nurse