Krotenberg, Jeffrey Alan

Krotenberg, Jeffrey Alan is an individual health care provider with primary practice located at 305 Waymont Ct Suite 111, Lake Mary FL 32746-3566. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Krotenberg, Jeffrey Alan can be contacted via phone (407) 324-0405.

Contact Information

Primary practice address
305 Waymont Ct Suite 111 Lake Mary FL 32746-3566
Phone: (407) 324-0405
Fax: (407) 324-0075
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X OS0004985 Florida

Profile Details

NPI number 1801818703
LBN Legal business name Krotenberg, Jeffrey Alan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2006
Last updated Feb 20th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801818703 NPPES
Florida MEDICAID 056251300
Florida Other 19404
Florida Other 121134400
Florida Other 260017797
Florida Other 80108
Florida Other 3196405002
Florida Other 066470

Popular Providers