Provider Demographics
NPI:1952377731
Name:KRAEMER, ELIHU M (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIHU
Middle Name:M
Last Name:KRAEMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0022124207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL93157Medicare ID - Type Unspecified
FLD60357Medicare UPIN