Healthcare Provider Details

I. General information

NPI: 1861661100
Provider Name (Legal Business Name): KARIN A BOYLE R.T.(R)
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2008
Last Update Date: 02/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4353 UNION SPRINGS RD
SPRING HILL FL
34608-3369
US

IV. Provider business mailing address

4353 UNION SPRINGS RD
SPRING HILL FL
34608-3369
US

V. Phone/Fax

Practice location:
  • Phone: 352-263-3354
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247100000X
TaxonomyRadiologic Technologist
License NumberCRT 53924
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code247100000X
TaxonomyRadiologic Technologist
License Number348460
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: