=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013981406
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KAREN HARRIS M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/14/2006
-----------------------------------------------------
Last Update Date | 12/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6440 W NEWBERRY RD STE 508
-----------------------------------------------------
City | GAINESVILLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32605-8303
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-792-6123
-----------------------------------------------------
Fax | 352-792-6138
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6440 W NEWBERRY RD SUITE 508
-----------------------------------------------------
City | GAINESVILLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32605-4381
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-332-7222
-----------------------------------------------------
Fax | 352-332-7330
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207VG0400X
-----------------------------------------------------
Taxonomy Name | Gynecology Physician
-----------------------------------------------------
License Number | ME55293
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------