Healthcare Provider Details

I. General information

NPI: 1619605391
Provider Name (Legal Business Name): SAVANNA KLINE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2022
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 MARINER BLVD
SPRING HILL FL
34609-5691
US

IV. Provider business mailing address

2441 DOTHAN AVE
SPRING HILL FL
34609-5210
US

V. Phone/Fax

Practice location:
  • Phone: 352-238-9522
  • Fax:
Mailing address:
  • Phone: 352-238-9522
  • Fax: 941-485-0519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2830066
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: