Provider Demographics
NPI:1851652531
Name:ARNON KRONGRAD, M.D., P.A.
Entity type:Organization
Organization Name:ARNON KRONGRAD, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNON
Authorized Official - Middle Name:
Authorized Official - Last Name:KRONGRAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-936-0474
Mailing Address - Street 1:20900 NE 30TH AVE
Mailing Address - Street 2:STE 207
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2100
Mailing Address - Country:US
Mailing Address - Phone:305-936-0474
Mailing Address - Fax:305-936-0498
Practice Address - Street 1:20900 NE 30TH AVE
Practice Address - Street 2:STE 207
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2100
Practice Address - Country:US
Practice Address - Phone:305-936-0474
Practice Address - Fax:305-936-0498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0062761208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty