Individual
DR. MYLES KEITH KRIEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4350 SHERIDAN ST, SUITE 101, HOLLYWOOD, FL 33021-3556
(954) 963-3222
(954) 963-1471
Mailing address
4350 SHERIDAN ST, SUITE 101, HOLLYWOOD, FL 33021-3556
(954) 963-3222
(954) 963-1471
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
ME26172
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93405Z
PTAN
FL
01
—
ME26172
STATE LICENSE NUMBER
FL
Enumeration date
08/09/2005
Last updated
06/04/2015
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