Organization
CHARLES J KOLLER MD PA
Active
Other names
CHARLES J KOLLER MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
HILDA RODRIGUEZ (OFFICE MANAGER)
(407) 645-3555
Entity
Organization
Contact information
Practice address
2055 GLENWOOD DR, WINTER PARK, FL 32792-3307
(407) 645-3555
(407) 645-2555
Mailing address
2055 GLENWOOD DR, WINTER PARK, FL 32792-3307
(407) 645-3555
(407) 645-2555
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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