Provider Demographics
NPI:1386660777
Name:ENNEKING, F KAYSER (MD)
Entity Type:Individual
Prefix:DR
First Name:F
Middle Name:KAYSER
Last Name:ENNEKING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:FRANCASCA
Other - Middle Name:KAYSER
Other - Last Name:ENNEKING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 918025
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32891-8025
Mailing Address - Country:US
Mailing Address - Phone:352-265-8990
Mailing Address - Fax:352-265-8991
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-3003
Practice Address - Country:US
Practice Address - Phone:352-265-8990
Practice Address - Fax:352-265-8991
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME59928207L00000X
FLME59926207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL054378100Medicaid
FL054378100Medicaid
FL68565ZMedicare PIN
FL68565Medicare ID - Type Unspecified