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Individual

KAREN SLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2727 W. MARTIN LUTHER KING BLVD, STE #300, TAMPA, FL 33607
(813) 870-4435
(813) 870-4084
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
(800) 394-4445
(706) 868-4488

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME57375
FL

Other

Enumeration date
09/15/2006
Last updated
09/18/2012
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