Healthcare Provider Details

I. General information

NPI: 1245339191
Provider Name (Legal Business Name): PATRICK J KARSON DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 09/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 HAZARD ST
ORLANDO FL
32804
US

IV. Provider business mailing address

204 HAZARD ST
ORLANDO FL
32804-3030
US

V. Phone/Fax

Practice location:
  • Phone: 407-383-0784
  • Fax: 904-346-0113
Mailing address:
  • Phone: 407-383-0784
  • Fax: 904-346-0113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberOS3781
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOS0003781
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: