Individual
KIRSTEN JAYNE LEDERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744-8200
(727) 398-6661
Mailing address
10000 BAY PINES BLVD, BAY PINES, FL 33744-8200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
29697
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2018
Last updated
10/17/2024
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