Provider Demographics
NPI:1245217793
Name:CHASON, KAREN J (DO)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:J
Last Name:CHASON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 W 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-6125
Mailing Address - Country:US
Mailing Address - Phone:850-521-8700
Mailing Address - Fax:850-521-8710
Practice Address - Street 1:114 W 5TH AVE
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-6125
Practice Address - Country:US
Practice Address - Phone:850-521-8700
Practice Address - Fax:850-521-8710
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL050060862084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL57336OtherBCBS
FL57336Medicare ID - Type Unspecified
FLP49647Medicare UPIN