Provider Demographics
NPI:1316238496
Name:TREGER, KASEY ELIZABETH (DO)
Entity type:Individual
Prefix:DR
First Name:KASEY
Middle Name:ELIZABETH
Last Name:TREGER
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:653 WEST 8TH ST.,
Mailing Address - Street 2:BOX L-18, LRC 4TH FLOOR
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32209-6511
Mailing Address - Country:US
Mailing Address - Phone:904-383-1003
Mailing Address - Fax:904-244-7388
Practice Address - Street 1:655 W 8TH ST
Practice Address - Street 2:ACC 1ST FLOOR, PRIMARY CARE CENTER
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32209-6511
Practice Address - Country:US
Practice Address - Phone:904-383-1003
Practice Address - Fax:904-244-7388
Is Sole Proprietor?:No
Enumeration Date:2011-04-25
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
FLOS14695207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program