Healthcare Provider Details

I. General information

NPI: 1134156771
Provider Name (Legal Business Name): ROBERT DAVID KLAUSNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2006
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 Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License NumberME 65586
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: