Individual
DR. JEREMY MARCUS DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 N ORANGE BLOSSOM TRL STE 200, KISSIMMEE, FL 34744-2307
(407) 303-5191
Mailing address
2400 N ORANGE BLOSSOM TRL, KISSIMMEE, FL 34744-2306
(407) 303-2615
(407) 303-0415
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
ME126634
FL
390200000X
Student in an Organized Health Care Education/Training Program
ME126634
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/18/2011
Last updated
03/17/2018
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