Healthcare Provider Details

I. General information

NPI: 1871570291
Provider Name (Legal Business Name): JEFFREY M KARP MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 09/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3251 N MCMULLEN BOOTH RD #302
CLEARWATER FL
33761-2022
US

IV. Provider business mailing address

3251 N MCMULLEN BOOTH RD #302
CLEARWATER FL
33761-2022
US

V. Phone/Fax

Practice location:
  • Phone: 727-726-4817
  • Fax: 727-726-5246
Mailing address:
  • Phone: 727-726-4817
  • Fax: 727-726-5246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License NumberME0035840
License Number StateFL

VIII. Authorized Official

Name: DR. JEFFREY MICHAEL KARP
Title or Position: PRESIDENT
Credential: MD
Phone: 727-726-4817