Provider Demographics
NPI:1609275999
Name:KAREN BYRON, DC, LLC
Entity Type:Organization
Organization Name:KAREN BYRON, DC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:BYRON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:352-376-1320
Mailing Address - Street 1:2202 NW 12TH ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-3473
Mailing Address - Country:US
Mailing Address - Phone:352-376-1320
Mailing Address - Fax:
Practice Address - Street 1:2202 NW 12TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-3473
Practice Address - Country:US
Practice Address - Phone:352-376-1320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABC WELLNESS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-08-22
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
111N00000X
FLCH10477305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No305S00000XManaged Care OrganizationsPoint of ServiceGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1528336427OtherNPI