Individual provider · Type 1 NPI

Jennifer Koeller, PA-C

Surgical Physician Assistant · Leesburg, FL

NPI number 1043625809 Active

Practice location

700 Doctors Ct
Leesburg, FL 34748-7314

Fax (352) 787-8705

Mailing address

PO Box 3130
Ocala, FL 34478-3130

Other practice locations

  • 1350 Hickory St, Melbourne, FL 32901-3224 · (321) 434-3455

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X25MP00337400 (NJ)
Surgical Physician Assistant Primary 363AS0400XPA9108194 (FL)

Surgical Physician Assistant: Definition to come...

12 other providers at this address

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About NPI 1043625809

Jennifer Koeller, PA-C's National Provider Identifier is 1043625809, issued on Jun 30, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Leesburg, FL. The record was last updated on Apr 1, 2025.