Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | CH5333 | FL |
N | 111NR0400X | Rehabilitation Chiropractor | CH5333 | FL |
NPI | 1578794343 |
---|---|
Provider Name | Dr. Scott Kramer |
First Address | Lake Worth, FL 33460-4915 |
Second Address | Lake Worth, FL 33460-4915 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2009 |
Last Update Date | 28/07/2009 |