| Kfm Md Llc | |
|
1609 Pasadena Ave S Ste 4g South Pasadena FL 33707-4564 | |
| (727) 323-1090 | |
| (727) 323-1010 |
| Full Name | Kfm Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1609 Pasadena Ave S Ste 4g, South Pasadena, Florida |
| Authorized Official Name and Position | Karen Forsythe Monroe (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 7274585483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kfm Md Llc 1609 Pasadena Ave S Ste 4g South Pasadena FL 33707-4564 Ph: (727) 458-5483 | Kfm Md Llc 1609 Pasadena Ave S Ste 4g South Pasadena FL 33707-4564 Ph: (727) 323-1090 |
| NPI Number | 1396257002 |
|---|---|
| Provider Enumeration Date | 11/03/2017 |
| Last Update Date | 05/07/2018 |
| Medicare PECOS PAC ID | 8729345590 |
|---|---|
| Medicare Enrollment ID | O20171204000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396257002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | ME89609 (Florida) | Primary |
| 261QP2300X | Clinic/center - Primary Care | ME89609 (* (Not Available)) | Secondary |
| Provider Name | Karen F Monroe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700870805 PECOS PAC ID: 8325027337 Enrollment ID: I20040715000332 |
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