Healthcare Provider Details

I. General information

NPI: 1386672426
Provider Name (Legal Business Name): GARY I KLEINER M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 NW 10TH AVE
MIAMI FL
33136-1013
US

IV. Provider business mailing address

1580 NW 10TH AVE
MIAMI FL
33136-1013
US

V. Phone/Fax

Practice location:
  • Phone: 305-213-8533
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License NumberME77504
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberME77504
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: