Active NPI
Karen Wunderlich MD PA
- Primary Care Clinic/Center
- Brooksville, FL
National Provider Identifier
1154484533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- ME61722
- Legal business name
- KAREN WUNDERLICH MD PA
- Practice address
- 14540 Cortez Blvd
Suite 102
Brooksville, FL 34613-6056 - Phone
- (352) 596-7255
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Wunderlich, M.D.
- Title
- President
- Phone
- (352) 596-7255
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | ME61722 | FL | Primary |
Addresses
Primary practice location
14540 Cortez Blvd
Suite 102
Brooksville, FL 34613-6056
Mailing address
14540 Cortez Blvd
Suite 102
Brooksville, FL 34613-6056
Phone (352) 596-7255
National Provider Directory
National Provider DirectoryLocations
17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060
14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276560000000",
"number": "1154484533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14540 CORTEZ BLVD",
"address_2": "SUITE 102",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346136056",
"telephone_number": "352-596-7255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14540 CORTEZ BLVD",
"address_2": "SUITE 102",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346136056",
"telephone_number": "352-596-7255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAREN WUNDERLICH MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2010-06-15",
"status": "A",
"authorized_official_last_name": "WUNDERLICH",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "352-596-7255",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "ME61722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.