MEDICARE: KAREN M. WALDROP, P.A.

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	261QR0400X	Rehabilitation Clinic/Center
2	222Q00000X	Developmental Therapist	SA6628	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932328861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAREN M. WALDROP, P.A.

Provider Business Mailing Address
First Line	:	6039 COLLINS AVENUE
Second Line	:	STE 811
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-2251
Country	:	US
Telephone Number	:	954-599-4185
Fax Number	:	800-697-1979

Provider Business Practice Location Address
First Line	:	437 W. 41ST STREET
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-2251
Country	:	US
Telephone Number	:	954-599-4185
Fax Number	:	800-697-1979

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KAREN M. WALDROP
Credential	:
Telephone Number	:	954-599-4185

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	08/12/2019

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