Provider Demographics
NPI:1033392899
Name:KRAUS, LUCIA (PA)
Entity Type:Individual
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First Name:LUCIA
Middle Name:
Last Name:KRAUS
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:2600 LAKE LUCIEN DR
Mailing Address - Street 2:SUITE 180
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7233
Mailing Address - Country:US
Mailing Address - Phone:407-875-2080
Mailing Address - Fax:407-875-0518
Practice Address - Street 1:3990 SHERIDAN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3661
Practice Address - Country:US
Practice Address - Phone:954-894-1616
Practice Address - Fax:954-894-9906
Is Sole Proprietor?:No
Enumeration Date:2007-12-14
Last Update Date:2007-12-14
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Provider Licenses
StateLicense IDTaxonomies
FLPA9101008363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant