Healthcare Provider Details

I. General information

NPI: 1841317989
Provider Name (Legal Business Name): JESSICA KASIRSKY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 S US HIGHWAY 1
TEQUESTA FL
33469-2701
US

IV. Provider business mailing address

225 S US HIGHWAY 1
TEQUESTA FL
33469-2701
US

V. Phone/Fax

Practice location:
  • Phone: 561-747-4464
  • Fax:
Mailing address:
  • Phone: 561-747-4464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number216473
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: