Provider Demographics
NPI:1336478668
Name:GRUBER, KAREN LESLIE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LESLIE
Last Name:GRUBER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5929 APPROACH ROAD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-5720
Mailing Address - Country:US
Mailing Address - Phone:941-800-5698
Mailing Address - Fax:941-413-5396
Practice Address - Street 1:5929 APPROACH ROAD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-5720
Practice Address - Country:US
Practice Address - Phone:941-800-5698
Practice Address - Fax:941-413-5396
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-16
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9217446363L00000X
FLAPRN9217446207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner