Provider Demographics
NPI:1639258221
Name:CHESLER, JEFFREY BRUCE I (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:BRUCE
Last Name:CHESLER
Suffix:I
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1406 KINGSLEY AVE STE D
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-4528
Mailing Address - Country:US
Mailing Address - Phone:904-541-1780
Mailing Address - Fax:904-541-1785
Practice Address - Street 1:1406 KINGSLEY AVE STE D
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-4528
Practice Address - Country:US
Practice Address - Phone:904-541-1780
Practice Address - Fax:904-541-1785
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0053362207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine