Provider Demographics
NPI:1871570291
Name:JEFFREY M KARP MD PA
Entity type:Organization
Organization Name:JEFFREY M KARP MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:KARP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-726-4817
Mailing Address - Street 1:3251 N MCMULLEN BOOTH RD
Mailing Address - Street 2:#302
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-2022
Mailing Address - Country:US
Mailing Address - Phone:727-726-4817
Mailing Address - Fax:727-726-5246
Practice Address - Street 1:3251 N MCMULLEN BOOTH RD
Practice Address - Street 2:#302
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-2022
Practice Address - Country:US
Practice Address - Phone:727-726-4817
Practice Address - Fax:727-726-5246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-28
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0035840204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD57370Medicare UPIN
FLDG436AMedicare PIN