Individual
DR. EDWARD STEPHEN KRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 S SEACREST BLVD, SUITE 150, BOYNTON BEACH, FL 33435-7961
(561) 734-1888
Mailing address
2800 S SEACREST BLVD, SUITE 150, BOYNTON BEACH, FL 33435-7961
(561) 734-1888
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME71114
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186635
AMERIGROUP
FL
05
—
266397000
—
FL
01
—
42547
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/28/2006
Last updated
01/14/2016
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