Healthcare Provider Details

I. General information

NPI: 1508871948
Provider Name (Legal Business Name): CRITICARE CLINICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 11/12/2021
Certification Date: 11/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14701 NW 77TH AVE
MIAMI LAKES FL
33014-2559
US

IV. Provider business mailing address

PO BOX 11825
DAYTONA BEACH FL
32120-1825
US

V. Phone/Fax

Practice location:
  • Phone: 305-665-4614
  • Fax:
Mailing address:
  • Phone: 305-669-2833
  • Fax: 305-669-2840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: WILLIAM KRANICHFELD
Title or Position: PRESIDENT
Credential: M.D.
Phone: 305-665-4614