Healthcare Provider Details

I. General information

NPI: 1609858208
Provider Name (Legal Business Name): KARIN G COLE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3312 S SECLUSION DR
SARASOTA FL
34239-6511
US

IV. Provider business mailing address

3312 S SECLUSION DR
SARASOTA FL
34239-6511
US

V. Phone/Fax

Practice location:
  • Phone: 941-925-9226
  • Fax:
Mailing address:
  • Phone: 941-925-9226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0600X
TaxonomyGerontology Registered Nurse
License Number868032
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: