# PAIGE KREEGEL MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235176116
- **Authorized official:** DR. PAIGE VANIER KREEGEL M.D. (PRESIDENT)
- **Authorized official phone:** (941) 629-4888

## Contact information

- **Practice address:** 3420 TAMIAMI TRL, SUITE 2, PORT CHARLOTTE, FL 33952-8127
- **Practice address phone:** (941) 629-4888
- **Practice address fax:** (941) 629-5935
- **Mailing address:** 3420 TAMIAMI TRL, SUITE 2, PORT CHARLOTTE, FL 33952-8127
- **Mailing address phone:** (941) 629-4888
- **Mailing address fax:** (941) 629-5935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME42565 | FL | Yes |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 08/22/2020