Anatole Krukas
Internist - Addiction Medicine
Central Florida Substance Abuse Treatment Center 3155 Lake Worth Rd
Lake Worth
, Florida 33461
Anatole Krukas
Internist - Addiction Medicine
Central Florida Substance Abuse Treatment Center 3155 Lake Worth Rd
Lake Worth
, Florida 33461
(561) 439-8440
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Anatole Krukas
- Central Florida Substance Abuse Treatment Center 3155 Lake Worth Rd
- Lake Worth, FL
- Zip : 33461
- Phone : (561) 439-8440
Second Address
- Anatole Krukas
- Central Florida Substance Abuse Treatment Center 3155 Lake Worth Rd
- Lake Worth, FL
- Zip : 33461
- Phone : (561) 439-8440
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | ME114799 | FL |
National Provider Identifier
| NPI | 1043229941 |
|---|---|
| Provider Name | Anatole Krukas |
| First Address | Lake Worth, FL 33461 |
| Second Address | Lake Worth, FL 33461 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/08/2006 |
| Last Update Date | 18/09/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 009917500 | (05) | FL |
| D47712 | (02) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.