MEDICARE: KRAEMER & ASSOCIATES PA

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	ME0022124	FL

General Provider Information

NPI Number	:	1841299856
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KRAEMER & ASSOCIATES PA

Provider Business Mailing Address
First Line	:	3080 NW 99TH AVE
Second Line	:	SUITE #301
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4038
Country	:	US
Telephone Number	:	954-752-9630
Fax Number	:	954-341-6069

Provider Business Practice Location Address
First Line	:	3080 NW 99TH AVE
Second Line	:	SUITE #301
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4038
Country	:	US
Telephone Number	:	954-752-9630
Fax Number	:	954-341-6069

Authorized Official
Title or Position	:	OWNER PRESIDENT
Name	:	DR. ELIHU M KRAEMER
Credential	:	MD
Telephone Number	:	305-572-9630

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	09/04/2007

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