Healthcare Provider Details

I. General information

NPI: 1992463343
Provider Name (Legal Business Name): KAREN MARIE HULET HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN M GREEN HIS

II. Dates (important events)

Enumeration Date: 12/02/2021
Last Update Date: 12/07/2023
Certification Date: 12/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8532 SW HIGHWAY 200
OCALA FL
34481-2100
US

IV. Provider business mailing address

8532 SW HIGHWAY 200
OCALA FL
34481-2100
US

V. Phone/Fax

Practice location:
  • Phone: 352-732-2070
  • Fax:
Mailing address:
  • Phone: 352-732-2070
  • Fax: 352-732-4270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberAS5598
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: