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NPI Code Detail

MEDICARE: KAREN ELIZABETH ANDERSON M.D.

MEDICARE: KAREN ELIZABETH ANDERSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianME50257FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588664395
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN ELIZABETH ANDERSON M.D.
Provider Business Mailing Address
First Line : PO BOX 57100
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32241-7100
Country : US
Telephone Number : 904-387-4630
Fax Number : 904-387-2109
Provider Business Practice Location Address
First Line : 3625 UNIVERSITY BLVD S
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-4207
Country : US
Telephone Number : 904-387-4630
Fax Number : 904-387-2109
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 11/13/2007

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