Kresak, Jesse L

Kresak, Jesse L is an individual health care provider with primary practice located at 1600 Sw Archer Rd Ste 3109, Gainesville FL 32610-3003. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is her primary health care specialty. Kresak, Jesse L can be contacted via phone (352) 265-0238.

Contact Information

Primary practice address
1600 Sw Archer Rd Ste 3109 Gainesville FL 32610-3003
Phone: (352) 265-0238
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X ME 118055 Florida

Profile Details

NPI number 1134447311
LBN Legal business name Kresak, Jesse L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2010
Last updated Sep 3rd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134447311 NPPES
Florida MEDICAID 12296200

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