Individual
MRS. KAREN AFRE DIVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
1350 HICKORY ST, SUITE 215, MELBOURNE, FL 32901-3224
(321) 837-3820
(321) 837-3654
Mailing address
1775 W HIBISCUS BLVD, SUITE 215, MELBOURNE, FL 32901-2620
(321) 837-3820
(321) 837-3654
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA283
FL
Other
Enumeration date
09/08/2015
Last updated
11/21/2016
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