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NPI Code Detail

MEDICARE: DR. GERALD M KLEIN

MEDICARE: DR. GERALD M KLEIN
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
12085R0202XDiagnostic Radiology PhysicianME 24355FL

General Provider Information

NPI Number : 1689653438
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GERALD M KLEIN
Provider Business Mailing Address
First Line : 150 N WESTMONTE DR
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32714-3342
Country : US
Telephone Number : 407-767-0433
Fax Number : 407-767-0608
Provider Business Practice Location Address
First Line : 4200 SUN N LAKE BLVD
Second Line :
City : SEBRING
State : FL
Zip : 33872-1986
Country : US
Telephone Number : 863-381-4329
Fax Number : 863-402-3416
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 07/08/2007

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Directions to “ DR. GERALD M KLEIN ” Practice Location

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