| Ms Karen S Basedow, RD | |
|
3200 S University Dr, Davie, FL 33328-2018 | |
| (954) 262-4100 | |
| Not Available |
| Full Name | Ms Karen S Basedow |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 3200 S University Dr, Davie, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013223650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 724127 (* (Not Available)) | Primary |
| Provider Name | Nova Southeastern University Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700924511 PECOS PAC ID: 4486568896 Enrollment ID: O20031118000987 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Karen S Basedow, RD 314 Western Drive North, South Orange, NJ 07079 Ph: (973) 568-0126 | Ms Karen S Basedow, RD 3200 S University Dr, Davie, FL 33328-2018 Ph: (954) 262-4100 |
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