Healthcare Provider Details
I. General information
NPI: 1336677947
Provider Name (Legal Business Name): KARIN H. GUNTHER DO, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/25/2017
Last Update Date: 11/22/2023
Certification Date: 11/22/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14000 FIVAY RD
HUDSON FL
34667-7103
US
IV. Provider business mailing address
14000 FIVAY RD
HUDSON FL
34667-7103
US
V. Phone/Fax
- Phone: 615-372-5965
- Fax:
- Phone: 615-372-5965
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 12680529-1204 |
| License Number State | UT |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | OS20529 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: