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NPI Code Detail

MEDICARE: DR. DANIELA A KLOOS MD

MEDICARE: DR. DANIELA A KLOOS 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
1207R00000XInternal Medicine PhysicianME127362FL

Other Identifiers

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

General Provider Information

NPI Number : 1427491414
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIELA A KLOOS MD
Provider Business Mailing Address
First Line : 228 PARK AVE S # 76071
Second Line :
City : NEW YORK
State : NY
Zip : 10003-1502
Country : US
Telephone Number : 585-861-6398
Fax Number :
Provider Business Practice Location Address
First Line : 12724 GRAN BAY PKWY W STE 410
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32258-9486
Country : US
Telephone Number : 585-861-6398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2013
Last Update Date : 07/01/2025

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