Provider Demographics
NPI:1841299856
Name:KRAEMER & ASSOCIATES PA
Entity type:Organization
Organization Name:KRAEMER & ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIHU
Authorized Official - Middle Name:M
Authorized Official - Last Name:KRAEMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-572-9630
Mailing Address - Street 1:3080 NW 99TH AVE
Mailing Address - Street 2:SUITE #301
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4038
Mailing Address - Country:US
Mailing Address - Phone:954-752-9630
Mailing Address - Fax:954-341-6069
Practice Address - Street 1:3080 NW 99TH AVE
Practice Address - Street 2:SUITE #301
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4038
Practice Address - Country:US
Practice Address - Phone:954-752-9630
Practice Address - Fax:954-341-6069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-20
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0022124207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD60357Medicare UPIN