# KRYPTON MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407226277
- **Authorized official:** DAVID JOSE TRABANCO ARNP, AGNP, NP-C (NURSE PRACTITIONER/OWNER)
- **Authorized official phone:** (305) 301-3693

## Contact information

- **Practice address:** 10771 SW 64TH ST, MIAMI, FL 33173-2022
- **Practice address phone:** (305) 301-3693
- **Practice address fax:** (305) 553-5271
- **Mailing address:** 10771 SW 64TH ST, MIAMI, FL 33173-2022
- **Mailing address phone:** (305) 301-3693
- **Mailing address fax:** (305) 553-5271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | ARNP9337727 | FL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | ARNP9337727 | FL | — |
| 363LP2300X | Primary Care Nurse Practitioner | ARNP9337727 | FL | — |

## Other

- **Enumeration date:** 10/05/2015
- **Last updated:** 12/24/2021