Provider Demographics
NPI:1437147006
Name:MCNAMARA-KRAUSS, CAROL (DC)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:
Last Name:MCNAMARA-KRAUSS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3320 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:LIGHTHOUSE POINT
Mailing Address - State:FL
Mailing Address - Zip Code:33064-6742
Mailing Address - Country:US
Mailing Address - Phone:954-943-1100
Mailing Address - Fax:954-943-9226
Practice Address - Street 1:3320 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:LIGHTHOUSE POINT
Practice Address - State:FL
Practice Address - Zip Code:33064-6742
Practice Address - Country:US
Practice Address - Phone:954-943-1100
Practice Address - Fax:954-943-9226
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0005281111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL380434800Medicaid
FLT94461Medicare UPIN
FL380434800Medicaid