Healthcare Provider Details

I. General information

NPI: 1558274019
Provider Name (Legal Business Name): CAITLYN ELVIRA KLEINTOP M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4705 S APOPKA VINELAND RD STE 100
ORLANDO FL
32819-3151
US

IV. Provider business mailing address

2691 MARIOTTA RDG
CLERMONT FL
34715-0093
US

V. Phone/Fax

Practice location:
  • Phone: 407-905-9300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number13740
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: