Healthcare Provider Details

I. General information

NPI: 1508245515
Provider Name (Legal Business Name): CAMERON KLUTH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2015
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 SW 18TH CT STE 200
OCALA FL
34471-7857
US

IV. Provider business mailing address

4960 SW 72ND AVE STE 405
MIAMI FL
33155-5506
US

V. Phone/Fax

Practice location:
  • Phone: 352-629-7011
  • Fax: 866-622-7186
Mailing address:
  • Phone: 469-458-9222
  • Fax: 443-595-6960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number60947
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberME149353
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: