Healthcare Provider Details

I. General information

NPI: 1356634463
Provider Name (Legal Business Name): CRITICARE CLINICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2011
Last Update Date: 01/13/2020
Certification Date: 01/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4741 S UNIVERSITY DR
DAVIE FL
33328-3819
US

IV. Provider business mailing address

5927 SW 70TH ST UNIT 439031
SOUTH MIAMI FL
33243-7023
US

V. Phone/Fax

Practice location:
  • Phone: 305-667-0239
  • Fax: 305-667-0239
Mailing address:
  • Phone: 305-666-2427
  • Fax: 305-666-1065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME57914
License Number StateFL

VIII. Authorized Official

Name: WILLIAM KRANICHFELD
Title or Position: PRESIDENT
Credential: MD
Phone: 305-666-2427