Provider Demographics
NPI:1487192274
Name:CRAMER, CRAIG ALLAN (HAS TRAINEE)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:ALLAN
Last Name:CRAMER
Suffix:
Gender:M
Credentials:HAS TRAINEE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1751 BLUE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-5826
Mailing Address - Country:US
Mailing Address - Phone:407-601-5798
Mailing Address - Fax:407-286-3186
Practice Address - Street 1:335 S PLUMOSA ST STE D
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32952-3567
Practice Address - Country:US
Practice Address - Phone:321-453-7800
Practice Address - Fax:321-453-7801
Is Sole Proprietor?:No
Enumeration Date:2017-02-01
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAST619237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist