Dr.Jeffrey Lance Kravat

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO569 Issued in FL

Legal business name

DR.JEFFREY LANCE KRAVAT

Practice address

8600 W State Road 84 Ste B
Davie, FL 33324-4558

Phone

(954) 474-5900

NPI assigned

Apr 15, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey Lance Kravat, DPMNPI 1659309540

Title

Owner

Phone

(954) 474-5900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Lance Kravat, DPM

  • Podiatrist
  • Davie, FL
  • NPI 1659309540
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1437323938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 W STATE ROAD 84 STE B",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244558",
            "telephone_number": "954-474-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 W STATE ROAD 84 STE B",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244558",
            "telephone_number": "954-474-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.JEFFREY LANCE KRAVAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "KRAVAT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-474-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC",
            "identifier": "0907800001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Davie, FL
• Providers in Davie, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.