Healthcare Provider Details

I. General information

NPI: 1558823005
Provider Name (Legal Business Name): KARIM AL-TURK DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2019
Last Update Date: 07/28/2021
Certification Date: 07/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 CLEVELAND CLINIC BLVD
WESTON FL
33331-3609
US

IV. Provider business mailing address

2950 CLEVELAND CLINIC BLVD
WESTON FL
33331-3609
US

V. Phone/Fax

Practice location:
  • Phone: 954-659-5000
  • Fax: 954-659-6216
Mailing address:
  • Phone: 954-659-5000
  • Fax: 954-659-6216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA436-513-91-065-0
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: