Individual
DR. KARIN HERZELE VANGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1564 KINGSLEY AVE, ORANGE PARK, FL 32073-4521
(904) 282-6331
(904) 619-1080
Mailing address
705 WELLS RD STE 300, ORANGE PARK, FL 32073-2982
(904) 282-6331
(904) 619-1080
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301088270
MI
207L00000X
Anesthesiology Physician
Primary
ME108223
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004623200
—
FL
Enumeration date
06/01/2007
Last updated
09/14/2022
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