MEDICARE: KARA DODGE ARNP

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	363LF0000X	Family Nurse Practitioner	ARNP 9308559	FL

General Provider Information

NPI Number	:	1740699198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA DODGE ARNP

Provider Business Mailing Address
First Line	:	7593 W BOYNTON BEACH BLVD STE 220
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-6162
Country	:	US
Telephone Number	:	561-649-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3472 FOREST HILL BLVD STE 3B
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33406-5684
Country	:	US
Telephone Number	:	561-965-8222
Fax Number	:	561-963-0509

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

Provider Enumeration Date	:	08/11/2014
Last Update Date	:	02/15/2024

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