Organization
WILLIAM P KROCKTA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM P KROCKTA MD (OWNER)
(813) 681-0665
Entity
Organization
Contact information
Practice address
10905 CLIFF DR, TAMPA, FL 33617-3202
(813) 681-0665
(813) 914-7473
Mailing address
PO BOX 290615, TAMPA, FL 33687-0615
(813) 914-7473
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/11/2006
Last updated
08/22/2020
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