Healthcare Provider Details

I. General information

NPI: 1255462826
Provider Name (Legal Business Name): KARIN INGRID KUROWSKI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 OLD WINTER GARDEN RD
OCOEE FL
34761-2964
US

IV. Provider business mailing address

14625 HEATHERMERE LN
ORLANDO FL
32837-5460
US

V. Phone/Fax

Practice location:
  • Phone: 407-253-7850
  • Fax:
Mailing address:
  • Phone: 407-816-8202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME 72166
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: