| Doctor Name: | DR. KAREN RONQUILLO |
| NPI Number: | 1467757948 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 55146-020 |
| Business Practice Address: | 402 E Ash St Perry, FL - 323472105 |
| Business Phone Number: | 8503888685 |
| Business Fax Number: | |
| Mailing Address: | Po Box 14306, TALLAHASSEE |
| State: | FL |
| Postal Code: | 323174306 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/14/2011 |
| NPI Last Update Date: | 07/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 55146-020 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |