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Individual

DR. STEPHEN SCOTT KRAMARICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2349 VILLAGE SQUARE PARK WAY, SUITE 107, JACKSONVILLE, FL 32003
(904) 389-1010
(904) 389-1082
Mailing address
7207 GOLDEN WINGS ROAD, JACKSONVILLE, FL 32244
(904) 389-1010
(904) 389-1082

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME83572
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME83572
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0278982001
CIGNA
FL
01
05234
BLUE CROSS BLUE SHIELD
FL
01
217227
HEALTHEASE
FL
05
263018400
FL
01
3051620
AETNA
FL
Enumeration date
06/30/2005
Last updated
02/28/2017
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