David Kramer MD

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

ME0007088 Issued in FL

Legal business name

DAVID KRAMER MD

Doing business as

OPA-LOCKA MEDICAL CLINIC

Practice address

870 Fisherman St
Opa Locka, FL 33054-3509

Phone

(305) 688-2519

Fax

(305) 688-2785

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah Johnson

Title

Administrator

Phone

(305) 688-2519

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• OPA-LOCKA MEDICAL CLINIC Doing business as

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1629092234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 FISHERMAN STREET",
            "city": "OPA-LOCKA",
            "state": "FL",
            "postal_code": "33054",
            "telephone_number": "305-688-2519",
            "fax_number": "305-688-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 FISHERMAN ST",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543509",
            "telephone_number": "305-688-2519",
            "fax_number": "305-688-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID KRAMER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-688-2519",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "ME0007088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA CTR NUMBER",
            "identifier": "110222",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPA-LOCKA MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Exclusive Provider Organization in Opa Locka, FL
• Providers in Opa Locka, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.