Individual
BRUCE H KRAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
ME68627
FL
208000000X
Pediatrics Physician
Primary
ME68627
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1753755-007
CIGNA PROVIDER ID
FL
01
—
219764
AVMED PROVIDER ID
FL
01
—
27289
BCBS PROVIDER ID
FL
05
—
378073200
—
FL
01
—
5467014
AETNA PROVIDER ID
FL
01
—
593324260
TAX ID
FL
Enumeration date
07/28/2005
Last updated
03/07/2023
Update your record
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