Individual
MR. BRADLEY A KRAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
8725 N WICKHAM RD STE 301, MELBOURNE, FL 32940-2240
(321) 434-9200
(321) 434-9202
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-9200
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9105773
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016566100
—
FL
01
—
DY106Y
MEDICARE
FL
Enumeration date
08/12/2006
Last updated
04/06/2021
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