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NPI Code Detail

MEDICARE: KOMBIZ PATRICK KLEIN DO

MEDICARE: KOMBIZ PATRICK KLEIN DO
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 Physician200100393NC

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 : 1619976297
Entity Type Code : Individual
Provider Name (Legal Business Name) : KOMBIZ PATRICK KLEIN DO
Provider Business Mailing Address
First Line : 2675 WINKLER AVE STE 200
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-9328
Country : US
Telephone Number : 877-856-3774
Fax Number : 239-599-2612
Provider Business Practice Location Address
First Line : 4309 MEDICAL PARK DR STE 200
Second Line :
City : DURHAM
State : NC
Zip : 27704-2389
Country : US
Telephone Number : 919-471-4484
Fax Number : 919-477-6131
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 03/03/2026

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