Provider Demographics
NPI:1548317290
Name:KAREN FORSYTHE MONROE MD LLC
Entity type:Organization
Organization Name:KAREN FORSYTHE MONROE MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:FORSYTHE MONROE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-323-1090
Mailing Address - Street 1:2191 9TH AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-7146
Mailing Address - Country:US
Mailing Address - Phone:727-323-1090
Mailing Address - Fax:727-323-1010
Practice Address - Street 1:2191 9TH AVE N
Practice Address - Street 2:SUITE 105
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-7146
Practice Address - Country:US
Practice Address - Phone:727-323-1090
Practice Address - Fax:727-323-1010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME89609207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty