Individual
REBECCA KRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3665 MADACA LN, TAMPA, FL 33618-2048
(813) 280-7380
(813) 355-5039
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 528-4975
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
9287987
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014234800
—
FL
Enumeration date
10/10/2014
Last updated
04/12/2016
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