Provider Demographics
NPI:1538295050
Name:KRAUSE, GARRETT EMIL (AP)
Entity Type:Individual
Prefix:MR
First Name:GARRETT
Middle Name:EMIL
Last Name:KRAUSE
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5750 COACH HOUSE CIR
Mailing Address - Street 2:UNIT C
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-8669
Mailing Address - Country:US
Mailing Address - Phone:561-859-5896
Mailing Address - Fax:561-416-0237
Practice Address - Street 1:5750 COACH HOUSE CIR
Practice Address - Street 2:UNIT C
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-8669
Practice Address - Country:US
Practice Address - Phone:561-859-5896
Practice Address - Fax:561-416-0237
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP-2154171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist