Provider Demographics
NPI:1932328861
Name:KAREN M. WALDROP, P.A.
Entity Type:Organization
Organization Name:KAREN M. WALDROP, P.A.
Other - Org Name:KIDS THERAPY WORKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:WALDROP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-599-4185
Mailing Address - Street 1:6039 COLLINS AVENUE
Mailing Address - Street 2:STE 811
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2251
Mailing Address - Country:US
Mailing Address - Phone:954-599-4185
Mailing Address - Fax:800-697-1979
Practice Address - Street 1:437 W. 41ST STREET
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2251
Practice Address - Country:US
Practice Address - Phone:954-599-4185
Practice Address - Fax:800-697-1979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA6628222Q00000X
261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Multi-Specialty
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL100528500Medicaid
FL890509600Medicaid