Provider Demographics
NPI:1508871948
Name:CRITICARE CLINICS INC
Entity Type:Organization
Organization Name:CRITICARE CLINICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KRANICHFELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-665-4614
Mailing Address - Street 1:PO BOX 11825
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32120-1825
Mailing Address - Country:US
Mailing Address - Phone:305-669-2833
Mailing Address - Fax:305-669-2840
Practice Address - Street 1:14701 NW 77TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2559
Practice Address - Country:US
Practice Address - Phone:305-665-4614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL277160801Medicaid
FL277160800Medicaid
FL277160802Medicaid