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Individual

DR. ROBERT JAY KRAUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4624 HALDER LN, ORLANDO, FL 32814-6435
(407) 897-7470
(407) 897-7473
Mailing address
4624 HALDER LN, ORLANDO, FL 32814-6435
(407) 897-7470
(407) 897-7473

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME76040
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
255216700
FL
01
43901
BLUE CROSS & BLUE SHIELD
FL
01
5320680
AETNA
FL
01
P00119566
RAIL ROAD MEDICARE
FL
Enumeration date
07/13/2006
Last updated
08/15/2012
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