BEGIN:VCARD VERSION:3.0 FN:Joelle Karch\, MD N:Karch;Joelle;;;MD TITLE:Reproductive Endocrinology Physician TEL;TYPE=WORK,VOICE:+18664836366 URL:https://www.gale.care/providers/fl/jupiter/joelle-karch-md-1669651998 NOTE:NPI 1669651998. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1669651998 END:VCARD