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General NPI Number Information
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NPI Number | 1851398267
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Entity Type | Individual
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Provider Name | STEPHEN SCOTT KRAMARICH MD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 02/28/2017
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Provider Practice Location Address
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Address Line | 2349 VILLAGE SQUARE PARK WAY SUITE 107
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City | JACKSONVILLE
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State | FL
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Zip | 32003
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Country | US
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Telephone | 904-389-1010
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Fax | 904-389-1082
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Provider Business Mailing Address
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Address Line | 7207 GOLDEN WINGS ROAD
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City | JACKSONVILLE
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State | FL
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Zip | 32244
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Country | US
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Telephone | 904-389-1010
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Fax | 904-389-1082
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | ME83572
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | ME83572
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License Number State | FL
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