Individual
DR. CHARLES JAY KOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
174400000X
Specialist
Primary
ME0063666
FL
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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