William Paul Krockta
Geriatric Medicine
10905 Cliff Dr
Tampa
, Florida 33617-3202
William Paul Krockta
Geriatric Medicine
10905 Cliff Dr
Tampa
, Florida 33617-3202
(813) 914-7473
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- William Paul Krockta
- Po Box 290615
- Tampa, FL
- Zip : 33687-0615
- Fax : (813) 914-7473
- Phone : (813) 681-0665
Second Address
- William Paul Krockta
- 10905 Cliff Dr
- Tampa, FL
- Zip : 33617-3202
- Fax : (813) 914-7473
- Phone : (813) 681-0665
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | ME47596 | FL |
National Provider Identifier
| NPI | 1114963444 |
|---|---|
| Provider Name | William Paul Krockta |
| First Address | Tampa, FL 33687-0615 |
| Second Address | Tampa, FL 33617-3202 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D21355 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.