Krackov, Warren S
Krackov, Warren S is an individual health care provider with primary practice located at 12666 Telecom Dr , Temple Terrace FL 33637-0935. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Krackov, Warren S can be contacted via phone (813) 972-4700.Contact Information
Primary practice address
12666 Telecom Dr
Temple Terrace FL 33637-0935
Phone: (813) 972-4700
Fax: (813) 972-4705
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME 101445 | Florida |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | M-2258 | Guam |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | ME101445 | Florida |
Profile Details
NPI number | 1689641136 |
---|---|
LBN Legal business name | Krackov, Warren S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 3rd, 2006 |
Last updated | May 23rd, 2021 - about 3 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.
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