Individual
DR. KAREN MARIE FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-8480
(727) 767-4970
Mailing address
PO BOX 1508, VENICE, FL 34284-1508
(941) 486-3483
(941) 484-9235
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME95653
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01300
FLORIDA BLUE CROSS
FL
05
—
277625100
—
FL
Enumeration date
02/07/2007
Last updated
01/08/2018
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