Individual
KAREN BRUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4742
(813) 974-2919
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-2812
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME83126
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03224
BLUE CROSS BLUE SHIELD
FL
05
—
262238600
—
FL
Enumeration date
08/14/2006
Last updated
10/22/2020
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