Healthcare Provider Details

I. General information

NPI: 1144223843
Provider Name (Legal Business Name): ERICA KLEINSTEIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 COLONIAL DR STE 204
MARGATE FL
33063-5674
US

IV. Provider business mailing address

5944 CORAL RIDGE DR PMB 127
CORAL SPRINGS FL
33076-3300
US

V. Phone/Fax

Practice location:
  • Phone: 954-974-5225
  • Fax: 954-974-5117
Mailing address:
  • Phone: 954-974-5225
  • Fax: 954-974-5117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME84136
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: