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1215910047

NPI Code Detail

MEDICARE: ROBERT KRENZER MD

MEDICARE: ROBERT KRENZER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	ME88699	FL
2	2084N0400X	Neurology Physician	ME88699	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	81678X	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	81678	OTHER	FL	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	5943218	OTHER	FL	AETNA
5	3365222	OTHER	FL	AETNA
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215910047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT KRENZER MD

Provider Business Mailing Address
First Line	:	3300 S FISKE BLVD
Second Line	:
City	:	ROCKLEDGE
State	:	FL
Zip	:	32955-4306
Country	:	US
Telephone Number	:	321-434-8078
Fax Number	:	321-951-7408

Provider Business Practice Location Address
First Line	:	1425 MALABAR RD NE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32907-2506
Country	:	US
Telephone Number	:	321-434-8078
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2005
Last Update Date	:	03/04/2024

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Directions to “ ROBERT KRENZER MD” Practice Location

Language	Start Address	Practice Location

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