Provider Demographics
NPI:1851714067
Name:OLAFSSON, KAROL (ARNP)
Entity Type:Individual
Prefix:
First Name:KAROL
Middle Name:
Last Name:OLAFSSON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 W GORE ST
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1134
Mailing Address - Country:US
Mailing Address - Phone:407-649-6151
Mailing Address - Fax:321-943-6658
Practice Address - Street 1:32 W GORE ST
Practice Address - Street 2:5TH FLOOR
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1134
Practice Address - Country:US
Practice Address - Phone:407-649-6151
Practice Address - Fax:321-943-6658
Is Sole Proprietor?:No
Enumeration Date:2014-01-23
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9184461207R00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010520800Medicaid
FLARNP9184461OtherMEDICAL LICENSE
FLHS743ZMedicare PIN