Provider Demographics
NPI:1598758724
Name:KARP, JEFFREY M (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:M
Last Name:KARP
Suffix:
Gender:M
Credentials:MD
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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
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2012-04-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME00358402084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL62252YMedicare PIN
D57370Medicare UPIN