Doctor Name: | WILLIAM JOHN KRANTZ |
NPI Number: | 1255567079 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A. |
License Number: | PA9104738 |
Business Practice Address: | 871 W Oakland Park Blvd Wilton Manors, FL - 333111731 |
Business Phone Number: | 9545677141 |
Business Fax Number: | 9545655624 |
Mailing Address: | 7875 W Commercial Blvd, TAMARAC |
State: | FL |
Postal Code: | 333514353 |
Phone Number: | 9547260099 |
Fax Number: | 9547260047 |
NPI Enumeration Date: | 06/08/2009 |
NPI Last Update Date: | 03/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA9104738 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |