Provider Demographics
NPI:1821052879
Name:KRAMER, GARY M (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:M
Last Name:KRAMER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4950 SW 42ND AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2231
Mailing Address - Country:US
Mailing Address - Phone:305-665-3523
Mailing Address - Fax:305-665-2272
Practice Address - Street 1:4950 S LE JEUNE RD STE F
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146
Practice Address - Country:US
Practice Address - Phone:305-665-3523
Practice Address - Fax:305-665-2272
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-14
Last Update Date:2018-08-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME83727208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLI02829Medicare UPIN