Individual
DR. DAVID J KRULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
606 4TH AVE W, PALMETTO, FL 34221-5226
(941) 722-7785
(941) 729-5267
Mailing address
367 S. GULPH RD, ATT IPM CREDENTIALING, KING OF PRUSSIA, PA 19406-3121
(775) 356-9393
(775) 356-5590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME24702
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-88991
UNITED HEALTH CARE
FL
05
—
038663400
—
FL
01
—
71973
BLUE CROSS BLUE SHIELD
FL
01
—
P01096254
RAILROAD MEDICARE
FL
Enumeration date
07/07/2005
Last updated
07/21/2022
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