Individual
DR. LAWRENCE D KAELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2631 CENTENNIAL BLVD, SUITE 100, TALLAHASSEE, FL 32308-0588
(850) 877-8539
(850) 877-6674
Mailing address
2631 CENTENNIAL BLVD, SUITE 100, TALLAHASSEE, FL 32308-0588
(850) 877-8539
(850) 877-6674
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME0049211
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00517976A
—
GA
05
—
370231600
—
FL
Enumeration date
06/26/2006
Last updated
03/31/2017
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