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NPI Code Detail

MEDICARE: KAREN OLSON BRAINARD MD

MEDICARE:   KAREN OLSON BRAINARD  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
1207Q00000XFamily Medicine Physician6893NH
2207Q00000XFamily Medicine PhysicianMD20050625NM
3207Q00000XFamily Medicine PhysicianME94066FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
191107OTHERFLBCBS PIN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912938549
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN OLSON BRAINARD MD
Provider Business Mailing Address
First Line : 6900 TAVISTOCK LAKES BLVD STE 300
Second Line :
City : ORLANDO
State : FL
Zip : 32827-7592
Country : US
Telephone Number : 833-309-3737
Fax Number : 321-380-1411
Provider Business Practice Location Address
First Line : 8614 STATE ROAD 70 E STE 200
Second Line :
City : BRADENTON
State : FL
Zip : 34202-3710
Country : US
Telephone Number : 941-727-1243
Fax Number : 941-751-9039
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 07/20/2023

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Directions to “ KAREN OLSON BRAINARD MD” Practice Location

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