MEDICARE: DR. MARC B KLEIN DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	PO 1505	FL
2	213EP1101X	Primary Podiatric Medicine Podiatrist	PO 1505	FL
3	213ES0000X	Sports Medicine Podiatrist	PO 1505	FL
4	213ES0131X	Foot Surgery Podiatrist	PO 1505	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	480019906	OTHER	FL	RAILROAD MEDICARE
3	87854X	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043212566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARC B KLEIN DPM

Provider Business Mailing Address
First Line	:	7050 W PALMETTO PARK RD
Second Line	:	SUITE #18
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3426
Country	:	US
Telephone Number	:	561-447-7571
Fax Number	:	561-447-7574

Provider Business Practice Location Address
First Line	:	7050 W PALMETTO PARK RD
Second Line	:	SUITE #18
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3426
Country	:	US
Telephone Number	:	561-447-7571
Fax Number	:	561-447-7574

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	04/05/2010

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Directions to “ DR. MARC B KLEIN DPM” Practice Location

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