Provider Demographics
NPI:1871684886
Name:AVILES, KAREN E (MS, RN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:E
Last Name:AVILES
Suffix:
Gender:F
Credentials:MS, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 CELEBRATION POINT WAY
Mailing Address - Street 2:APT 109 BLDG 4
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-3988
Mailing Address - Country:US
Mailing Address - Phone:904-803-7011
Mailing Address - Fax:
Practice Address - Street 1:5500 CELEBRATION POINT WAY
Practice Address - Street 2:APT 109 BLDG 4
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-3988
Practice Address - Country:US
Practice Address - Phone:904-803-7011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9314528163WP0808X
FL6973101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health