Healthcare Provider Details

I. General information

NPI: 1861493108
Provider Name (Legal Business Name): DANIEL PAUL KRAFT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 09/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 SO. JOG RD. #101 PALM BEACH PEDIATRICS
BOYNTON BEACH FL
33472-2981
US

IV. Provider business mailing address

8200 SO. JOG RD. #203 PALM BEACH PEDIATRICS, PA
BOYNTON BEACH FL
33472-2981
US

V. Phone/Fax

Practice location:
  • Phone: 561-509-5009
  • Fax: 561-738-0556
Mailing address:
  • Phone: 561-327-4960
  • Fax: 561-738-1807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME0036720
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: