Healthcare Provider Details

I. General information

NPI: 1467345355
Provider Name (Legal Business Name): SYDNEY AFTON KLEIN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2025
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7932 W SAND LAKE RD STE 202
ORLANDO FL
32819-7299
US

IV. Provider business mailing address

7932 W SAND LAKE RD STE 202
ORLANDO FL
32819-7299
US

V. Phone/Fax

Practice location:
  • Phone: 800-827-7546
  • Fax: 407-332-8676
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number9121192
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: