Healthcare Provider Details

I. General information

NPI: 1760457329
Provider Name (Legal Business Name): ROBERT V KLAASEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29335 US HIGHWAY 19 N
CLEARWATER FL
33761-2146
US

IV. Provider business mailing address

4442B LEBANON PIKE
HERMITAGE TN
37076-1312
US

V. Phone/Fax

Practice location:
  • Phone: 727-739-9736
  • Fax:
Mailing address:
  • Phone: 615-852-5668
  • Fax: 877-721-8404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number68935
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: