Provider Demographics
NPI:1669545224
Name:KRAMER, ROBERT CHARLES (DPM)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CHARLES
Last Name:KRAMER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 W. STATE ROAD 434
Mailing Address - Street 2:SUITE 1012
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750
Mailing Address - Country:US
Mailing Address - Phone:407-831-4416
Mailing Address - Fax:407-831-4492
Practice Address - Street 1:1250 W. STATE ROAD 434
Practice Address - Street 2:SUITE 1012
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750
Practice Address - Country:US
Practice Address - Phone:407-831-4492
Practice Address - Fax:407-831-4416
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO1025213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
87610BMedicare ID - Type Unspecified
87610Medicare ID - Type Unspecified
T55470Medicare UPIN