Organization
DAVID KRAMER MD
Active
Other names
OPA-LOCKA MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH JOHNSON (ADMINISTRATOR)
(305) 688-2519
Entity
Organization
Contact information
Practice address
870 FISHERMAN ST, OPA LOCKA, FL 33054-3509
(305) 688-2519
(305) 688-2785
Mailing address
870 FISHERMAN STREET, OPA-LOCKA, FL 33054
(305) 688-2519
(305) 688-2785
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
ME0007088
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110222
HUMANA CTR NUMBER
FL
Enumeration date
07/27/2006
Last updated
09/08/2009
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