MEDICARE: DR. ROBERT JAY KRAUT M.D.

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	207W00000X	Ophthalmology Physician	ME76040	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00119566	OTHER	FL	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5320680	OTHER	FL	AETNA
4	43901	OTHER	FL	BLUE CROSS & BLUE SHIELD
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306861687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT JAY KRAUT M.D.

Provider Business Mailing Address
First Line	:	4624 HALDER LN
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32814-6435
Country	:	US
Telephone Number	:	407-897-7470
Fax Number	:	407-897-7473

Provider Business Practice Location Address
First Line	:	4624 HALDER LN
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32814-6435
Country	:	US
Telephone Number	:	407-897-7470
Fax Number	:	407-897-7473

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	08/15/2012

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Directions to “ DR. ROBERT JAY KRAUT M.D.” Practice Location

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