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Provider Information for 1124311378


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PATRICIA DARLENE KARL


Sex: Female

NPI: 1124311378
Last Updated: 2015-12-14
Certification Date:

Details

NameValue
NPI1124311378
Enumeration Date2011-05-20
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
United States

Phone: 352-374-5600 | Fax:352-374-5608
 
Primary Practice Address 4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
United States

Phone: 352-374-5600 | Fax:352-374-5608
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YP2500X - Counselor - Professional
Yes 101YM0800X - Counselor - Mental Health