Provider Demographics
NPI:1396876371
Name:KARLIN, JAN VICTOR (MD)
Entity type:Individual
Prefix:
First Name:JAN
Middle Name:VICTOR
Last Name:KARLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 DR PHILLIPS BLVD
Mailing Address - Street 2:SUITE 58
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-7231
Mailing Address - Country:US
Mailing Address - Phone:407-226-0609
Mailing Address - Fax:407-226-0610
Practice Address - Street 1:7600 DR PHILLIPS BLVD
Practice Address - Street 2:SUITE 58
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-7231
Practice Address - Country:US
Practice Address - Phone:407-226-0609
Practice Address - Fax:407-226-0610
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME20750208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL20750OtherME#
FL20750OtherME#