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NPI Code Detail

MEDICARE: PROF. CARL RAYMOND CRAMER ED.D., RKT, ATC, LAT

MEDICARE:  PROF. CARL RAYMOND CRAMER  ED.D., RKT, ATC, LAT
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
12255A2300XAthletic TrainerAL 109FL

General Provider Information

NPI Number : 1841263829
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROF. CARL RAYMOND CRAMER ED.D., RKT, ATC, LAT
Provider Business Mailing Address
First Line : 17916 SW 29TH ST
Second Line :
City : MIRAMAR
State : FL
Zip : 33029-5155
Country : US
Telephone Number : 305-899-3497
Fax Number : 305-899-4809
Provider Business Practice Location Address
First Line : 11300 N.E. SECOND AVE
Second Line : .BARRY UNIVERSITY ATHLETIC TRAININING
City : MIAMI SHORES
State : FL
Zip : 33161-6695
Country : US
Telephone Number : 305-899-3497
Fax Number : 305-899-4809
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 01/23/2008

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Directions to “ PROF. CARL RAYMOND CRAMER ED.D., RKT, ATC, LAT” Practice Location

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