Healthcare Provider Details

I. General information

NPI: 1790744910
Provider Name (Legal Business Name): ALEKSANDRA KRAEHER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 11/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 MILITARY TRL STE 218
JUPITER FL
33458-4831
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 NumberME83753
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: