Healthcare Provider Details

I. General information

NPI: 1982283529
Provider Name (Legal Business Name): SARAH KLEIMEYER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH LOSSIE D.O.

II. Dates (important events)

Enumeration Date: 04/02/2021
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 MAR WALT DR
FORT WALTON BEACH FL
32547-6708
US

IV. Provider business mailing address

201 14TH ST SW
LARGO FL
33770-3133
US

V. Phone/Fax

Practice location:
  • Phone: 850-862-1111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number7715
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: