MEDICARE: DR. ERICA KLEINSTEIN MD

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	207R00000X	Internal Medicine Physician	ME84136	FL

General Provider Information

NPI Number	:	1144223843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERICA KLEINSTEIN MD

Provider Business Mailing Address
First Line	:	5944 CORAL RIDGE DR
Second Line	:	PMB 127
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-3300
Country	:	US
Telephone Number	:	954-974-5225
Fax Number	:	954-974-5117

Provider Business Practice Location Address
First Line	:	5800 COLONIAL DR
Second Line	:	STE 204
City	:	MARGATE
State	:	FL
Zip	:	33063-5674
Country	:	US
Telephone Number	:	954-974-5225
Fax Number	:	954-974-5117

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	07/08/2007

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