Provider Demographics
NPI:1962640383
Name:ANDREW D KAREN MD LLC
Entity Type:Organization
Organization Name:ANDREW D KAREN MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:D
Authorized Official - Last Name:KAREN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-241-6460
Mailing Address - Street 1:1099 CITRUS TOWER BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-1947
Mailing Address - Country:US
Mailing Address - Phone:352-241-6460
Mailing Address - Fax:352-241-6461
Practice Address - Street 1:1099 CITRUS TOWER BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-1947
Practice Address - Country:US
Practice Address - Phone:352-241-6460
Practice Address - Fax:352-241-6461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-22
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty