Provider Demographics
NPI:1619956091
Name:JOSEPH Z. KRAUSE, M.D. P.A.
Entity Type:Organization
Organization Name:JOSEPH Z. KRAUSE, M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:Z
Authorized Official - Last Name:KRAUSE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-499-5100
Mailing Address - Street 1:5162 LINTON BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6567
Mailing Address - Country:US
Mailing Address - Phone:561-499-5100
Mailing Address - Fax:561-499-5133
Practice Address - Street 1:5162 LINTON BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6567
Practice Address - Country:US
Practice Address - Phone:561-499-5100
Practice Address - Fax:561-499-5133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-12
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0019684OtherGHI
FL592247909334840000OtherCHAMPUS
FL7A0741JKOtherNY EMPIRE BCBS
FL067367600Medicaid
FLDC6975Medicare PIN
FL067367600Medicaid