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NPI Code Detail

MEDICARE: MR. ROBERT KLEID PA-C

MEDICARE:  MR. ROBERT  KLEID  PA-C
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
1363AM0700XMedical Physician AssistantMP 00070800NJ
2363AM0700XMedical Physician AssistantPA 910847FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PA 9108477OTHERFLFLORIDA STATE LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144211061
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT KLEID PA-C
Provider Business Mailing Address
First Line : 6804 CECELIA DR
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34653-4935
Country : US
Telephone Number : 855-232-0644
Fax Number : 888-546-0488
Provider Business Practice Location Address
First Line : 6804 CECELIA DR
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34653-4935
Country : US
Telephone Number : 855-232-0644
Fax Number : 888-546-0488
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 04/14/2022

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Directions to “ MR. ROBERT KLEID PA-C” Practice Location

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