MEDICARE: DR. KAREN K THALINGER MD

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	2084N0400X	Neurology Physician	ME77503	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255328860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN K THALINGER MD

Provider Business Mailing Address
First Line	:	PO BOX 41113
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32203-1113
Country	:	US
Telephone Number	:	904-376-4400
Fax Number	:	904-249-9764

Provider Business Practice Location Address
First Line	:	1370 13TH AVE S STE 215
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-3206
Country	:	US
Telephone Number	:	904-249-1041
Fax Number	:	904-249-9764

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

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	11/17/2015

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