MEDICARE: DR. RICHARD KRIEGER 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	207RC0000X	Cardiovascular Disease Physician	ME38197	FL

General Provider Information

NPI Number	:	1780627513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD KRIEGER MD

Provider Business Mailing Address
First Line	:	2901 S OCEAN BLVD
Second Line	:	SUITE 1001
City	:	HIGHLAND BEACH
State	:	FL
Zip	:	33487-1864
Country	:	US
Telephone Number	:	561-434-0353
Fax Number	:

Provider Business Practice Location Address
First Line	:	2901 S OCEAN BLVD
Second Line	:	SUITE 1001
City	:	HIGHLAND BEACH
State	:	FL
Zip	:	33487-1864
Country	:	US
Telephone Number	:	561-434-0353
Fax Number	:

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

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	07/09/2007

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