Organization
DR.JEFFREY LANCE KRAVAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LANCE KRAVAT DPM (OWNER)
(954) 474-5900
Entity
Organization
Contact information
Practice address
8600 W STATE ROAD 84 STE B, DAVIE, FL 33324-4558
(954) 474-5900
Mailing address
8600 W STATE ROAD 84 STE B, DAVIE, FL 33324-4558
(954) 474-5900
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO569
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0907800001
NSC
FL
Enumeration date
04/15/2008
Last updated
04/15/2008
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