MEDICARE: ABDUL M KARIM PA

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	207R00000X	Internal Medicine Physician
2	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1689828204
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABDUL M KARIM PA

Provider Business Mailing Address
First Line	:	389 COMMERCE PKWY
Second Line	:	SUITE 120
City	:	ROCKLEDGE
State	:	FL
Zip	:	32955-4202
Country	:	US
Telephone Number	:	321-806-3949
Fax Number	:	321-806-3945

Provider Business Practice Location Address
First Line	:	389 COMMERCE PKWY
Second Line	:	SUITE 120
City	:	ROCKLEDGE
State	:	FL
Zip	:	32955-4202
Country	:	US
Telephone Number	:	321-806-3949
Fax Number	:	321-806-3945

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. MONIQUE E NETTLES
Credential	:
Telephone Number	:	321-806-3949

Provider Enumeration Date	:	11/10/2008
Last Update Date	:	03/06/2013

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Directions to “ABDUL M KARIM PA ” Practice Location

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