Organization
JACQUELINE L. KAISER M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE LEVY KAISER M.D. (PRESIDENT / OWNER)
(407) 628-1718
Entity
Organization
Contact information
Practice address
255 N LAKEMONT AVE, SUITE 100, WINTER PARK, FL 32792-3229
(407) 628-1718
(407) 628-0925
Mailing address
255 N LAKEMONT AVE, SUITE 100, WINTER PARK, FL 32792-3229
(407) 628-1718
(407) 628-0925
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
ME 61763
FL
Other
Enumeration date
10/21/2006
Last updated
11/13/2007
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