MEDICARE: JUDITH KRAMMER M.D.

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	207V00000X	Obstetrics & Gynecology Physician	ME0057937	FL
2	207VM0101X	Maternal & Fetal Medicine Physician	ME57937	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780672527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDITH KRAMMER M.D.

Provider Business Mailing Address
First Line	:	1300 SAWGRASS CORPORATE PKWY
Second Line	:	SUITE 200
City	:	SUNRISE
State	:	FL
Zip	:	33323-2826
Country	:	US
Telephone Number	:	800-243-3839
Fax Number	:	855-527-5510

Provider Business Practice Location Address
First Line	:	8270 COLLEGE PKWY
Second Line	:	SUITE 205
City	:	FORT MYERS
State	:	FL
Zip	:	33919-4102
Country	:	US
Telephone Number	:	239-333-3826
Fax Number	:	855-527-5510

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

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	08/16/2016

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Directions to “ JUDITH KRAMMER M.D.” Practice Location

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