MEDICARE: KAREN TAYLOR MATHEWS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0202X	Pediatric Cardiology Physician	202617923	NC

General Provider Information

NPI Number	:	1194605303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN TAYLOR MATHEWS

Provider Business Mailing Address
First Line	:	2460 43RD ST N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33713-3200
Country	:	US
Telephone Number	:	703-595-5615
Fax Number	:

Provider Business Practice Location Address
First Line	:	2460 43RD ST N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33713-3200
Country	:	US
Telephone Number	:	703-595-5615
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2025
Last Update Date	:	02/11/2026

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Directions to “ KAREN TAYLOR MATHEWS ” Practice Location

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