Organization
SHAUNA KRANENDONK LLC
Active
Parent organization
SHAUNA KRANENDONK, LLC
Other names
Skye Center for Dermatology
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHAUNA KRANENDONK, LLC
Authorized official
MS. SHAUNA KAY KRANENDONK MD (PHYSICIAN)
(561) 820-0155
Entity
Organization
Contact information
Practice address
224 CHIMNEY CORNER LANE, SUITE#3002, JUPITER, FL 33458
(561) 820-0155
(561) 691-3281
Mailing address
224 CHIMNEY CORNER LANE, SUITE#3002, JUPITER, FL 33458
(561) 820-0155
(561) 691-3281
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
ME84713
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659316867
INDIVIDUAL NPI
FL
Enumeration date
07/25/2006
Last updated
12/10/2012
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