Provider Demographics
NPI:1013402601
Name:KRAL, JESSICA B (MD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:B
Last Name:KRAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:933 BROWN CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-2043
Mailing Address - Country:US
Mailing Address - Phone:407-593-2883
Mailing Address - Fax:407-593-2884
Practice Address - Street 1:933 BROWN CHAPEL RD
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-2043
Practice Address - Country:US
Practice Address - Phone:407-593-2883
Practice Address - Fax:407-593-2884
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-26
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME149557208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty