Provider Demographics
NPI:1356386981
Name:DUCLON, KAREN L (ARNP)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:L
Last Name:DUCLON
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 1:1831 N BELCHER RD STE D2
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-1450
Mailing Address - Country:US
Mailing Address - Phone:727-734-6631
Mailing Address - Fax:727-736-0548
Practice Address - Street 1:1831 N BELCHER RD STE D2
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765
Practice Address - Country:US
Practice Address - Phone:727-734-6631
Practice Address - Fax:727-736-0548
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1483392363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
E82282Medicare PIN
E82282Medicare ID - Type Unspecified
P69079Medicare UPIN