Healthcare Provider Details

I. General information

NPI: 1578794343
Provider Name (Legal Business Name): SCOTT KRAMER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2009
Last Update Date: 07/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 S M ST
LAKE WORTH FL
33460-4915
US

IV. Provider business mailing address

601 S M ST
LAKE WORTH FL
33460-4915
US

V. Phone/Fax

Practice location:
  • Phone: 561-588-4594
  • Fax:
Mailing address:
  • Phone: 561-588-4594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License NumberCH5333
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberCH5333
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: