Healthcare Provider Details
I. General information
NPI: 1952383341
Provider Name (Legal Business Name): SARAH H KRAUSS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/19/2005
Last Update Date: 07/10/2024
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1265 VISCAYA PKWY
CAPE CORAL FL
33990-3237
US
IV. Provider business mailing address
12730 NEW BRITTANY BLVD STE 602
FORT MYERS FL
33907-4690
US
V. Phone/Fax
- Phone: 239-574-2229
- Fax: 239-574-2762
- Phone: 239-275-5522
- Fax: 239-275-4464
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | ME92994 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | ME92994 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: