Provider Information for 1124311378
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PATRICIA DARLENE KARL
Sex: Female
NPI: 1124311378
Last Updated: 2015-12-14
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||
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NPI | 1124311378 | ||||||||||||
Enumeration Date | 2011-05-20 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
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 | ||||||||||||
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