Healthcare Provider Details

I. General information

NPI: 1932328861
Provider Name (Legal Business Name): KAREN M. WALDROP, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 08/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

437 W. 41ST STREET
MIAMI BEACH FL
33140-2251
US

IV. Provider business mailing address

6039 COLLINS AVENUE STE 811
MIAMI BEACH FL
33140-2251
US

V. Phone/Fax

Practice location:
  • Phone: 954-599-4185
  • Fax: 800-697-1979
Mailing address:
  • Phone: 954-599-4185
  • Fax: 800-697-1979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License NumberSA6628
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KAREN M. WALDROP
Title or Position: PRESIDENT
Credential:
Phone: 954-599-4185