Individual
KAREN CHRISTIANE THEILADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 CYPRESS EDGE DR, SUITE 203, PALM COAST, FL 32164-8453
(386) 586-4410
(386) 445-3398
Mailing address
120 CYPRESS EDGE DR, SUITE 203, PALM COAST, FL 32164-8453
(386) 586-4410
(386) 445-3398
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us