Healthcare Provider Details

I. General information

NPI: 1023328408
Provider Name (Legal Business Name): KARA MADONNA HYMAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARA MADONNA BRAZWELL

II. Dates (important events)

Enumeration Date: 10/19/2010
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4476 LEGENDARY DR STE 100
DESTIN FL
32541-5347
US

IV. Provider business mailing address

6722 COTTER DR
MILTON FL
32570-2720
US

V. Phone/Fax

Practice location:
  • Phone: 850-424-7320
  • Fax: 850-424-7322
Mailing address:
  • Phone: 850-586-7890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN 9313839
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11011031
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11011031
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: