Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | ME19362 | FL |
NPI | 1023057510 |
---|---|
Provider Name | Dr. Dean C Kramer |
First Address | Gainesville, FL 32605-4218 |
Second Address | Gainesville, FL 32605-4218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 09/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D58239 | (02) | FL |