Provider Demographics
NPI:1144539552
Name:SCHIFFER, KAREN BURKLI (PA-C)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:BURKLI
Last Name:SCHIFFER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:KHAREEM
Other - Middle Name:
Other - Last Name:BURKLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:1400 S ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-2134
Mailing Address - Country:US
Mailing Address - Phone:321-841-5169
Mailing Address - Fax:321-841-3649
Practice Address - Street 1:1400 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2134
Practice Address - Country:US
Practice Address - Phone:321-841-5169
Practice Address - Fax:321-841-3649
Is Sole Proprietor?:No
Enumeration Date:2010-10-02
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9105590363A00000X, 363AM0700X
FLPA9105590363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003250301Medicaid