Provider Demographics
NPI:1922280460
Name:STANTON, KARIN KAE
Entity Type:Individual
Prefix:DR
First Name:KARIN
Middle Name:KAE
Last Name:STANTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2154 DUCK SLOUGH BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-5073
Mailing Address - Country:US
Mailing Address - Phone:727-264-7655
Mailing Address - Fax:727-264-7735
Practice Address - Street 1:2154 DUCK SLOUGH BLVD STE 103
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-5073
Practice Address - Country:US
Practice Address - Phone:727-264-7655
Practice Address - Fax:727-264-7735
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS10472207V00000X, 207VG0400X
MI5315019245207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology