Charles Jay Koller, M.D.

Specialist · Winter Park, FL

Individual Active NPI

NPI number 1578571295

Practice location

2055 Glenwood Dr
Winter Park, FL 32792-3307
Phone
(407) 645-3555
Fax
(407) 645-2555

Open in Google Maps

NPI record

NPI
1578571295
Entity type
Individual (Type 1)
Enumeration date
August 5, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X ME0063666 FL

About Dr. Koller

Charles Jay Koller, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 2055 Glenwood Dr, Winter Park, FL 32792-3307. The NPI number 1578571295 was assigned on August 5, 2006 and the record was last updated on July 8, 2007.

Dr. Koller lists a license in the registry: #ME0063666 (FL) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Charles Jay Koller, M.D.?

The NPI number is 1578571295.

What is the phone number of Dr. Koller?

The phone number listed for the practice location is (407) 645-3555.

Where is Dr. Koller located?

2055 Glenwood Dr, Winter Park, FL 32792-3307.

What is the taxonomy code for Dr. Koller?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Specialist providers in Winter Park

All Specialist providers in Winter Park, FL →