Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | ME 111656 | FL |
NPI | 1639354798 |
---|---|
Provider Name | Dr. Marcus Michael Kessler |
First Address | Leesburg, FL 34748-7601 |
Second Address | Leesburg, FL 34748 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2008 |
Last Update Date | 02/01/2019 |