Individual
ANATOLE KRUKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CENTRAL FLORIDA SUBSTANCE ABUSE TREATMENT CENTER, 3155 LAKE WORTH RD, LAKE WORTH, FL 33461
(561) 439-8440
Mailing address
CENTRAL FLORIDA SUBSTANCE ABUSE TREATMENT CENTER, 3155 LAKE WORTH RD, LAKE WORTH, FL 33461
(561) 439-8440
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
ME114799
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009917500
—
FL
Enumeration date
08/07/2006
Last updated
09/18/2018
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