Healthcare Provider Details

I. General information

NPI: 1134584147
Provider Name (Legal Business Name): ROBERT D. KLAUSNER, MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2015
Last Update Date: 08/18/2024
Certification Date: 08/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26800 S TAMIAMI TRL STE 360
BONITA SPRINGS FL
34134-4355
US

IV. Provider business mailing address

2007 IMPERIAL GOLF COURSE BLVD
NAPLES FL
34110-1068
US

V. Phone/Fax

Practice location:
  • Phone: 239-498-4968
  • Fax: 239-498-0149
Mailing address:
  • Phone: 239-498-4968
  • Fax: 239-498-0149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT D. KLAUSNER
Title or Position: PRESIDENT
Credential: MD
Phone: 239-498-4968