Healthcare Provider Details

I. General information

NPI: 1427435965
Provider Name (Legal Business Name): VEKTRA L CASLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2015
Last Update Date: 07/17/2023
Certification Date: 08/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD DEPARTMENT OF PATHOLOGY
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

601 ELMWOOD AVENUE BOX 626
ROCHESTER NY
14642-0001
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-7841
  • Fax: 352-265-7978
Mailing address:
  • Phone: 585-273-4135
  • Fax: 585-273-3637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number310798
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number310798
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: