Healthcare Provider Details

I. General information

NPI: 1063009025
Provider Name (Legal Business Name): ANDREW MURRAY CRAMER RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/24/2020
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E ROLLINS ST
ORLANDO FL
32803-1248
US

IV. Provider business mailing address

3409 AVENUE X NW
WINTER HAVEN FL
33881-1052
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-5600
  • Fax:
Mailing address:
  • Phone: 863-438-1201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9443248
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: