Individual
KAREN CHRISTIANE THEILADE
Active
Individual
KAREN CHRISTIANE THEILADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME106807
FL
207RI0011X
Interventional Cardiology Physician
ME106807
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003120001
—
FL
01
—
14AA4
BCBS
FL
01
—
P01170719
RAILROAD
FL
Enumeration date
02/09/2007
Last updated
09/30/2013
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