MEDICARE: FRANCES MYERS KROHN LCSW

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	1041C0700X	Clinical Social Worker	SW414	FL

General Provider Information

NPI Number	:	1720031420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCES MYERS KROHN LCSW

Provider Business Mailing Address
First Line	:	PO BOX 862851
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32886-2851
Country	:	US
Telephone Number	:	954-847-4273
Fax Number	:	954-847-4245

Provider Business Practice Location Address
First Line	:	1111 W BROWARD BLVD
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-1638
Country	:	US
Telephone Number	:	954-527-6012
Fax Number	:

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	07/08/2007

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