MEDICARE: MR. DANIEL PAUL KRAFT MD

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	208000000X	Pediatrics Physician	ME0036720	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	61108	OTHER	FL	BS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861493108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL PAUL KRAFT MD

Provider Business Mailing Address
First Line	:	8200 SO. JOG RD.
Second Line	:	#203 PALM BEACH PEDIATRICS, PA
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33472-2981
Country	:	US
Telephone Number	:	561-327-4960
Fax Number	:	561-738-1807

Provider Business Practice Location Address
First Line	:	8200 SO. JOG RD.
Second Line	:	#101 PALM BEACH PEDIATRICS
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33472-2981
Country	:	US
Telephone Number	:	561-509-5009
Fax Number	:	561-738-0556

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	09/10/2012

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