Healthcare Provider Details

I. General information

NPI: 1093755464
Provider Name (Legal Business Name): KAREN A. FLANNERY DEMARA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 03/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 N FLAGLER DR
WEST PALM BEACH FL
33401-3406
US

IV. Provider business mailing address

9960 CENTRAL PARK BLVD N STE 400
BOCA RATON FL
33428-1759
US

V. Phone/Fax

Practice location:
  • Phone: 561-882-4541
  • Fax: 561-650-6093
Mailing address:
  • Phone: 561-288-5000
  • Fax: 561-482-1469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME79743
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME79743
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: