Healthcare Provider Details

I. General information

NPI: 1629318688
Provider Name (Legal Business Name): BARRY KLEIN AND ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2013
Last Update Date: 02/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 N UNIVERSITY DR
CORAL SPRINGS FL
33071-6621
US

IV. Provider business mailing address

1240 N UNIVERSITY DR
CORAL SPRINGS FL
33071-6621
US

V. Phone/Fax

Practice location:
  • Phone: 954-755-9850
  • Fax: 954-755-9347
Mailing address:
  • Phone: 954-755-9850
  • Fax: 954-755-9347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH7660
License Number StateFL

VIII. Authorized Official

Name: DR. BARRY P KLEIN
Title or Position: OWNER
Credential:
Phone: 954-755-9850