Healthcare Provider Details

I. General information

NPI: 1407265374
Provider Name (Legal Business Name): CARYN KLEIMAN D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2014
Last Update Date: 07/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1395 CENTER DR D1-19C
GAINESVILLE FL
32610-3006
US

IV. Provider business mailing address

1401 FORUM WAY STE 800
WEST PALM BEACH FL
33401-2322
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-6910
  • Fax:
Mailing address:
  • Phone: 561-682-0999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDRP1224
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: