Healthcare Provider Details

I. General information

NPI: 1437147006
Provider Name (Legal Business Name): CAROL MCNAMARA-KRAUSS D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2005
Last Update Date: 03/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3320 N FEDERAL HWY
LIGHTHOUSE POINT FL
33064-6742
US

IV. Provider business mailing address

3320 N FEDERAL HWY
LIGHTHOUSE POINT FL
33064-6742
US

V. Phone/Fax

Practice location:
  • Phone: 954-943-1100
  • Fax: 954-943-9226
Mailing address:
  • Phone: 954-943-1100
  • Fax: 954-943-9226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH0005281
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: