CHARLES J KOLLER MD PA
NPI 1689982183
Surgery in Winter Park, FL

Active since September 17, 2010
2055 GLENWOOD DR, WINTER PARK, FL 32792(407) 645-3555(407) 645-2555 Get Directions Write a Review

NPPES record last updated: September 17, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles J Koller Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES J KOLLER MD PA (NPI 1689982183) is a healthcare organization registered as a surgery in Winter Park, Florida and active in the NPI registry since September 2010. The organization lists Hilda Rodriguez, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1689982183
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameCHARLES J KOLLER MD PA
Location Address2055 GLENWOOD DRWinter Park, FL 32792-3307
Mailing Address2055 Glenwood DrWinter Park, FL 32792-3307 · (407) 645-3555 · Fax (407) 645-2555
Fax(407) 645-2555
Organization SubpartNo
Authorized OfficialHilda RodriguezOffice Manager · (407) 645-3555
Enumeration DateSeptember 17, 2010
NPI 1689982183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in FL · ME63666
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2055 GLENWOOD DR, Winter Park, FL 32792

Other Identifiers 1

Medicare UPINF94124FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
2055 GLENWOOD DR
WINTER PARK, FL 32792
Family Medicine
2055 GLENWOOD DR
WINTER PARK, FL 32792
Physician Assistant (Surgical)
2055 GLENWOOD DR
WINTER PARK, FL 32792
Surgery
2055 GLENWOOD DR
WINTER PARK, FL 32792

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles J Koller MD PA's NPI number?

The NPI number for Charles J Koller MD PA is 1689982183. It was assigned to this organization in the NPPES registry on September 17, 2010.

Where is Charles J Koller MD PA located?

Charles J Koller MD PA is located at 2055 Glenwood Dr, Winter Park, FL 32792. The listed phone number is (407) 645-3555.

What is Charles J Koller MD PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Charles J Koller MD PA was last updated on September 17, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.