MEDICARE: DR. JONNI H KLAPPER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	ME0042947	FL

General Provider Information

NPI Number	:	1003966300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONNI H KLAPPER M.D.

Provider Business Mailing Address
First Line	:	813 S WILLOW AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-2942
Country	:	US
Telephone Number	:	813-251-1992
Fax Number	:

Provider Business Practice Location Address
First Line	:	1202 E PALM AVE
Second Line	:	SCHOOL HEALTH SERVICES
City	:	TAMPA
State	:	FL
Zip	:	33605-3512
Country	:	US
Telephone Number	:	813-273-7020
Fax Number	:	813-273-7328

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	07/09/2007

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