Provider Demographics
NPI:1073987939
Name:BAPTIST HEALTH EXPRESS CARE @ CORAL SPRINGS
Entity Type:Organization
Organization Name:BAPTIST HEALTH EXPRESS CARE @ CORAL SPRINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KRANICHFELD
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:305-669-2833
Mailing Address - Street 1:6264 W SAMPLE RD
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-3273
Mailing Address - Country:US
Mailing Address - Phone:957-837-1010
Mailing Address - Fax:
Practice Address - Street 1:6264 W SAMPLE RD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-3273
Practice Address - Country:US
Practice Address - Phone:957-837-1010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAPTIST OUTPATIENT SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-11-16
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care