Organization
FLORIDA RETINA AND VITREOUS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J KRAUT M.D. (OWNER)
(407) 897-7470
Entity
Organization
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
174400000X
Specialist
Primary
ME76040
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7746537
AETNA
FL
01
—
DB6442
RAILROAD MEDICARE
FL
Enumeration date
09/16/2006
Last updated
01/29/2010
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