Basic Information
Provider Information
NPI: 1316261951
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PRAETEL
FirstName: CLAUDIA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD, PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 100254
Address2: UNIVERSITY OF FLORIDA, COM, DPT OF ANESTHESIOLOGY
City: GAINESVILLE
State: FL
PostalCode: 326100254
CountryCode: US
TelephoneNumber: 3522650077
FaxNumber: 3522656922
Practice Location
Address1: 1600 SW ARCHER RD
Address2: UNIVERSITY OF FLORIDA, COM, DPT OF ANESTHESIOLOGY
City: GAINESVILLE
State: FL
PostalCode: 326100254
CountryCode: US
TelephoneNumber: 3522650077
FaxNumber: 3522656922
Other Information
ProviderEnumerationDate: 03/25/2010
LastUpdateDate: 12/15/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XA98222CAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


Home