Healthcare Provider Details

I. General information

NPI: 1700870805
Provider Name (Legal Business Name): KAREN F. MONROE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2005
Last Update Date: 01/19/2024
Certification Date: 01/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 33RD ST N STE F
ST PETERSBURG FL
33713-9086
US

IV. Provider business mailing address

401 33RD ST N STE F
ST PETERSBURG FL
33713-9086
US

V. Phone/Fax

Practice location:
  • Phone: 727-323-1090
  • Fax: 727-323-1010
Mailing address:
  • Phone: 727-323-1090
  • Fax: 727-323-1010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME89609
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: