Provider Demographics
NPI:1790080190
Name:KAROW, ELIZABETH M (APRN)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:M
Last Name:KAROW
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:M
Other - Last Name:BODLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:900 S PINE ISLAND RD STE 800
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3923
Mailing Address - Country:US
Mailing Address - Phone:954-389-7000
Mailing Address - Fax:954-389-8726
Practice Address - Street 1:1695 N PARK DR STE 101
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3294
Practice Address - Country:US
Practice Address - Phone:954-389-7000
Practice Address - Fax:954-389-8726
Is Sole Proprietor?:No
Enumeration Date:2011-01-14
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9266707363LP0200X
FLARNP9266707363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL116959000Medicaid