Organization
MYLES K. KRIEGER, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA CAMPOS (ACCOUNT MANAGER)
(954) 963-3222
Entity
Organization
Contact information
Practice address
4340 SHERIDAN ST, SUITE #202, HOLLYWOOD, FL 33021-3567
(954) 963-3222
Mailing address
4340 SHERIDAN ST, SUITE #202, HOLLYWOOD, FL 33021-3567
(954) 963-3222
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
ME26172
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME26172
STATE LICENSE NUMBER
FL
Enumeration date
11/18/2010
Last updated
11/18/2010
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