Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | ME0049061 | FL |
NPI | 1033172770 |
---|---|
Provider Name | Philip John Krampat |
First Address | Fort Lauderdale, FL 33348 |
Second Address | Fort Lauderdale, FL 33301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E22890 | (02) |