Healthcare Provider Details

I. General information

NPI: 1366727455
Provider Name (Legal Business Name): JOEL K KRAMER PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2011
Last Update Date: 10/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 SE OCEAN BLVD
STUART FL
34994-2332
US

IV. Provider business mailing address

700 SE OCEAN BLVD
STUART FL
34994-2332
US

V. Phone/Fax

Practice location:
  • Phone: 772-287-3201
  • Fax: 772-286-7341
Mailing address:
  • Phone: 772-287-3201
  • Fax: 772-286-7341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS40181
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: