Provider Demographics
NPI:1811177082
Name:GAYNAIR-SURRY, KAREN ANEITA (MD, MSC)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ANEITA
Last Name:GAYNAIR-SURRY
Suffix:
Gender:F
Credentials:MD, MSC
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:ANEITA
Other - Last Name:GAYNAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MSC
Mailing Address - Street 1:PO BOX 15668
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33318-5668
Mailing Address - Country:US
Mailing Address - Phone:216-496-5938
Mailing Address - Fax:954-530-3138
Practice Address - Street 1:3330 SPANISH MOSS TER
Practice Address - Street 2:APT 109
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-5058
Practice Address - Country:US
Practice Address - Phone:216-496-5938
Practice Address - Fax:954-530-3138
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-05
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME94856208D00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL281403000Medicaid
FLAM468ZMedicare PIN