Healthcare Provider Details

I. General information

NPI: 1497876973
Provider Name (Legal Business Name): ALEKSANDRA KRAEHER MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 10/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 MILITARY TRAIL SUITE 218
JUPITER FL
33458-4813
US

IV. Provider business mailing address

PO BOX 8474
JUPITER FL
33468-8474
US

V. Phone/Fax

Practice location:
  • Phone: 561-626-9041
  • Fax: 561-626-9634
Mailing address:
  • Phone: 561-626-9041
  • Fax: 561-626-9634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEKSANDRA KRAEHER
Title or Position: PRESIDENT
Credential: MD
Phone: 561-626-9041