DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER KOELLER, PA-C

Active Sole Proprietor

JENNIFER KOELLER, PA-C is a Surgical Physician Assistant healthcare provider located in LEESBURG, Florida. NPI 1043625809 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · LEESBURG, FL

Registration Details

NPI Number
1043625809
Provider Type
Individual
Gender
Female
NPI Issued
Jun 30, 2014 (12.110222344313 yrs)
Last Updated
Apr 1, 2025
Licenses
25MP00337400 (NJ)
PA9108194 (FL)
Sole Proprietor
Yes

Practice Information

Address
700 DOCTORS CT
LEESBURG, FL, 347487314
Browse FL providers · Browse ZIP 34748
Phone
3527879838
Fax
3527878705
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in LEESBURG, FL

Name Credential NPI
THOMAS H. JONES PA-C 1598794075
MISS MARTHA ANN OLSON P.A. 1144317876
LISA M SARTORI P.A.C. 1851456347
MR. LUIS O APONTE MENDOZA PA 1891278875
MS. IONA SANCHEZ PA-C 1508538026
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.