Organization
KRYPTON MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JOSE TRABANCO ARNP, AGNP, NP-C (NURSE PRACTITIONER/OWNER)
(305) 301-3693
Entity
Organization
Contact information
Practice address
10771 SW 64TH ST, MIAMI, FL 33173-2022
(305) 301-3693
(305) 553-5271
Mailing address
10771 SW 64TH ST, MIAMI, FL 33173-2022
(305) 301-3693
(305) 553-5271
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9337727
FL
363LG0600X
Gerontology Nurse Practitioner
ARNP9337727
FL
363LP2300X
Primary Care Nurse Practitioner
ARNP9337727
FL
Other
Enumeration date
10/05/2015
Last updated
12/24/2021
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