Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | ME0043419 | FL |
NPI | 1043342199 |
---|---|
Provider Name | Dr. Steven Krumholz |
First Address | West Palm Beach, FL 33407-6109 |
Second Address | West Palm Beach, FL 33407-6109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2007 |
Last Update Date | 19/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
042147200 | (05) | FL |
D65268 | (02) | FL |