Basic Information
Provider Information
NPI: 1952414633
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DUANE
FirstName: KAREN
MiddleName: S.
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 13210 SW 3RD LN
Address2:  
City: NEWBERRY
State: FL
PostalCode: 326693199
CountryCode: US
TelephoneNumber: 3523331160
FaxNumber:  
Practice Location
Address1: 1601 SW ARCHER RD
Address2: DEPARTMENT OF SURGERY (112F)
City: GAINESVILLE
State: FL
PostalCode: 326081135
CountryCode: US
TelephoneNumber: 3523761611
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/16/2006
LastUpdateDate: 06/14/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X58427FLY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


Home