Provider Demographics
NPI:1194188060
Name:KASISCHKE, KARL ALBERT (MD)
Entity type:Individual
Prefix:DR
First Name:KARL
Middle Name:ALBERT
Last Name:KASISCHKE
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1725 SE 28TH LOOP STE 101
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-5328
Mailing Address - Country:US
Mailing Address - Phone:352-629-1743
Mailing Address - Fax:352-629-1748
Practice Address - Street 1:1725 SE 28TH LOOP STE 101
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5328
Practice Address - Country:US
Practice Address - Phone:352-629-1743
Practice Address - Fax:352-629-1748
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2025-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1460152084V0102X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL111016100Medicaid