Provider Demographics
NPI:1790744910
Name:KRAEHER, ALEKSANDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEKSANDRA
Middle Name:
Last Name:KRAEHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8474
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33468-8474
Mailing Address - Country:US
Mailing Address - Phone:561-626-9041
Mailing Address - Fax:561-626-9634
Practice Address - Street 1:4600 MILITARY TRL STE 218
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-4831
Practice Address - Country:US
Practice Address - Phone:561-626-9041
Practice Address - Fax:561-626-9634
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME83753207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL62847Medicare ID - Type Unspecified