Provider Demographics
NPI:1265456339
Name:SINCLAIR, KARLENE E (MD)
Entity Type:Individual
Prefix:DR
First Name:KARLENE
Middle Name:E
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:131 WEBB DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33837-3921
Mailing Address - Country:US
Mailing Address - Phone:863-421-4407
Mailing Address - Fax:863-422-2888
Practice Address - Street 1:131 WEBB DR
Practice Address - Street 2:SUITE B
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33837-3921
Practice Address - Country:US
Practice Address - Phone:863-421-4407
Practice Address - Fax:863-422-2888
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME88406208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2684284 00Medicaid
FL81652ZMedicare PIN
FL81652ZMedicare ID - Type Unspecified
FL2684284 00Medicaid