Provider Demographics
NPI:1306210265
Name:BAPTIST HEALTH MEDICAL PLAZA DORAL
Entity Type:Organization
Organization Name:BAPTIST HEALTH MEDICAL PLAZA DORAL
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 1:9915 NW 41ST ST
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-2445
Mailing Address - Country:US
Mailing Address - Phone:786-596-3830
Mailing Address - Fax:
Practice Address - Street 1:9915 NW 41ST ST
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-2445
Practice Address - Country:US
Practice Address - Phone:786-596-3830
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