Dr. Leopold Kretsch, M.D.
Family Medicine in Palm Coast, FL. Individual provider (NPI-1).
NPI number1982136115
StatusActive
Last updated in NPPESSep 14, 2020
Details
- NPI
- 1982136115
- Entity type
- Individual (NPI-1)
- Name
- Dr. Leopold Kretsch
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2017
- Certification date
- Sep 14, 2020
- Last updated
- Sep 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME146201 | FL | Yes |
Practice location
33 Old Kings Rd N Ste 3Palm Coast, FL 32137-8238
Phone 386-445-1100 · Fax 386-445-1408
Mailing address
Po Box 3266St Augustine, FL 32085-3266
Phone 904-819-4517
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