Provider Demographics
NPI:1396706016
Name:KALER, DAVID JOE (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JOE
Last Name:KALER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4161 TAMIAMI TRL
Mailing Address - Street 2:UNIT 101
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-9208
Mailing Address - Country:US
Mailing Address - Phone:941-625-0984
Mailing Address - Fax:941-625-0877
Practice Address - Street 1:4161 TAMIAMI TRL
Practice Address - Street 2:UNIT 101
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-9208
Practice Address - Country:US
Practice Address - Phone:941-625-0984
Practice Address - Fax:941-625-0877
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0042159207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL08122OtherBLUE CROSS BLUE SHIELD
FL13945OtherUNIVERSAL
FL200024765OtherRAILROAD MEDICARE
FL591563145OtherHUMANA
FL591563145OtherUHC
FL5869265OtherAETNA
FL7323528002OtherCIGNA
FL591563145AOtherHUMANA
FL591563145OtherUHC
FLK2675Medicare ID - Type Unspecified
FL5869265OtherAETNA
FL591563145OtherUHC