MEDICARE: MICHAEL D KRING PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA1736	FL

General Provider Information

NPI Number	:	1275722266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL D KRING PA

Provider Business Mailing Address
First Line	:	PO BOX 44004
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32231-4004
Country	:	US
Telephone Number	:	904-202-1032
Fax Number	:	904-376-4107

Provider Business Practice Location Address
First Line	:	900 BEACH BLVD
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-4368
Country	:	US
Telephone Number	:	904-249-0335
Fax Number	:	904-376-4107

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2007
Last Update Date	:	04/12/2016

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Directions to “ MICHAEL D KRING PA” Practice Location

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