Provider Demographics
NPI:1366727455
Name:KRAMER, JOEL K (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:K
Last Name:KRAMER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 SE OCEAN BLVD
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2332
Mailing Address - Country:US
Mailing Address - Phone:772-287-3201
Mailing Address - Fax:772-286-7341
Practice Address - Street 1:700 SE OCEAN BLVD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2332
Practice Address - Country:US
Practice Address - Phone:772-287-3201
Practice Address - Fax:772-286-7341
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS40181183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS40181OtherSTAT LISENCE