Basic Information
Provider Information
NPI: 1689800344
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALVAREZ
FirstName: KAREN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 300 S PARK RD STE 300
Address2:  
City: HOLLYWOOD
State: FL
PostalCode: 330218353
CountryCode: US
TelephoneNumber: 9543223091
FaxNumber:  
Practice Location
Address1: 300 S PARK RD STE 300
Address2:  
City: HOLLYWOOD
State: FL
PostalCode: 330218353
CountryCode: US
TelephoneNumber: 9543223091
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/08/2009
LastUpdateDate: 06/02/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/02/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207W00000XOS12155FLY Allopathic & Osteopathic PhysiciansOphthalmology 

No ID Information.


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