Healthcare Provider Details

I. General information

NPI: 1740258110
Provider Name (Legal Business Name): NILS H. MUELLER-KRONAST M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8756 BOYNTON BEACH BLVD STE 2300
BOYNTON BEACH FL
33472-4439
US

IV. Provider business mailing address

PO BOX 20800
BELFAST ME
04915-4105
US

V. Phone/Fax

Practice location:
  • Phone: 561-499-7551
  • Fax: 561-499-7582
Mailing address:
  • Phone: 888-402-7256
  • Fax: 888-902-1099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME94648
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License NumberME94648
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: