| NPI | 1558915868 |
|---|---|
| Doing Business As | CHARLES J KOLLER MD PA |
| Entity Type | Organization |
| Authorized Contact | HILDA RODRIGUEZ Office Manager 407-645-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |