Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | OS003783 | FL |
N | 207QA0401X | Family Doctor - Addiction Medicine | OS003783 | FL |
N | 207QA0505X | Family Doctor - Adult Medicine | OS003783 | FL |
N | 207QG0300X | Family Doctor - Geriatric Medicine | OS003783 | FL |
NPI | 1528124872 |
---|---|
Provider Name | Dr. Barbara A. Krantz |
First Address | Palm City, FL 34990-2000 |
Second Address | West Palm Beach, FL 33407-2374 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D27349 | (02) | FL |