Healthcare Provider Details

I. General information

NPI: 1174810360
Provider Name (Legal Business Name): LAURA KRUTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2011
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4225 PONCE DE LEON BLVD STE 200
CORAL GABLES FL
33146-1970
US

IV. Provider business mailing address

4225 PONCE DE LEON BLVD STE 200
CORAL GABLES FL
33146-1970
US

V. Phone/Fax

Practice location:
  • Phone: 305-443-6606
  • Fax:
Mailing address:
  • Phone: 305-443-6606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberME142423
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: