Provider Demographics
NPI:1801145453
Name:MALCOLM-GRIFFITH, KAREN MICHAELINE (OD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:MICHAELINE
Last Name:MALCOLM-GRIFFITH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7973 NW 70TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067
Mailing Address - Country:US
Mailing Address - Phone:954-802-6033
Mailing Address - Fax:
Practice Address - Street 1:10057 SUNSET STRIP STE B
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33322-5301
Practice Address - Country:US
Practice Address - Phone:954-749-5882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-29
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 4717152W00000X
GAOPT 002677152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist