Diane M Krutzler (NPI# 1073878872, PAC ID# 2769756790) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1073878872 |
| PAC ID by PECOS | 2769756790 |
| Professional Enrollment ID | I20170914002427 |
| Full Name | Diane M Krutzler |
| Organization Legal Name | PALM BEACH GENERAL SURGERY LLC |
| Address |
1400 Se Goldtree Dr Suite 102 104 Port St. Lucie FL 34952-7582 |
| Phone Number | 7723358446 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 1456455021 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100260 | ST LUCIE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1400 Se Goldtree Dr, Suite 102 104, Port St. Lucie, FL 34952-7582 | 7723358446 | PALM BEACH GENERAL SURGERY LLC |
| Organization Legal Name | PALM BEACH GENERAL SURGERY LLC |
| Physicians | 45 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vivian Rosa | Nurse Practitioner | Palm Beach General Surgery LLC | 160 John F Kennedy Dr, Suite 102, Atlantis, FL 33462-6604 |
| Heidi Bahna | Colorectal Surgery (proctology) | Palm Beach General Surgery LLC | 5511 S Congress Ave, Suite 105, Atlantis, FL 33462-1140 |
| Michelle R Barletta | Physician Assistant | Palm Beach General Surgery LLC | 4631 N Congress Ave, Suite 202, West Palm Beach, FL 33407-3234 |
| Melinda M Blom | Physician Assistant | Palm Beach General Surgery LLC | 12953 Palms W Dr, 201 Digestive Disease Center of The Pal, Loxahatchee, FL 33470-4992 |
| James J Goad | General Surgery | Palm Beach General Surgery LLC | 12955 Palms W Dr, Suite 201, Loxahatchee, FL 33470-9217 |
| Carlos Alejo | General Surgery | Palm Beach General Surgery LLC | 1713 Us Hwy 441 N, Suite H, Okeechobee, FL 34972-1900 |
| Julian K Berrocal | General Surgery | Palm Beach General Surgery LLC | 4631 N Congress Ave, Suite 202, West Palm Beach, FL 33407-3234 |
| Adam D Kurtin | General Surgery | Palm Beach General Surgery LLC | 1400 Se Goldtree Dr, Suite 102 104, Port St. Lucie, FL 34952-7582 |
| Aimee Elizabeth Farmer | Physician Assistant | Palm Beach General Surgery LLC | 1800 Se Tiffany Ave, St Lucie Medical Center, Port Saint Lucie, FL 34952-7521 |
| Annette Montes-lopez | Nurse Practitioner | Palm Beach General Surgery LLC | 4631 N Congress Ave, Suite 202, West Palm Beach, FL 33407-3234 |
| Street Address |
1400 SE GOLDTREE DR SUITE 102 104 |
| City | PORT ST. LUCIE |
| State | FL |
| Zip | 34952-7582 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Minni | Dermatology | Waters Edge Dermatology LLC | 1400 Se Goldtree Dr, Suite 107, Port St Lucie, FL 34952-7582 |
| Adam D Kurtin | General Surgery | Palm Beach General Surgery LLC | 1400 Se Goldtree Dr, Suite 102 104, Port St. Lucie, FL 34952-7582 |
| Rene M Loyola | General Surgery | Palm Beach General Surgery LLC | 1400 Se Goldtree Dr, Suite 102 104, Port St. Lucie, FL 34952-7582 |
| Shoshana D Hacker | General Surgery | Palm Beach General Surgery LLC | 1400 Se Goldtree Dr, Suite 102 104, Port St. Lucie, FL 34952-7582 |
| Nayomi E Omura | Dermatology | Waters Edge Dermatology LLC | 1400 Se Goldtree Dr, Suite 107, Port St Lucie, FL 34952-7582 |
| Alfredo Sy | Physician Assistant | Waters Edge Dermatology LLC | 1400 Se Goldtree Dr, Suite 107, Port St Lucie, FL 34952-7582 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Claudia Patricia Santamaria | Nurse Practitioner | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
| Heather L Hackney | Qualified Audiologist | James L Autin Md Pa | 10377s Us One Hwy 101, Port Saint Lucie, FL 34952 |
| Cynthia J Rogers | Dermatology | 8503 S Us, Suite 1, Port St Lucie, FL 34952 | |
| Anthony Glenn Rogers | Anesthesiology | Port St Lucie Pain Management Pllc | 8235s Us Hwy 1, Port St Lucie, FL 34952 |
| Diane Leigh Pugh | Family Medicine | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
| James L Autin | Otolaryngology | James L Autin Md Pa | 10377s Us One Hwy 101, Port Saint Lucie, FL 34952 |
| Carolyn A Rawdon | Nurse Practitioner | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
| Kenneth Weiss | Otolaryngology | James L Autin Md Pa | 10377s Us One Hwy 101, Port Saint Lucie, FL 34952 |
| Ravi Mehan | Internal Medicine | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
| Glynnis Jayne Lyons | General Practice | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
| Find all physicians in zip 34952 | |||
| City | PORT ST. LUCIE |
| Zip Code | 34952 |
| Specialty | GENERAL SURGERY |
| City + Specialty | PORT ST. LUCIE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Diane M Krutzler.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.