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Organization
RICHARD S KLEIN DC PA
Active
Organization
RICHARD S KLEIN DC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD S KLEIN DC PA (PRESIDENT)
(561) 483-9955
Entity
Organization
Contact information
Practice address
23008 SANDALFOOT PLAZA DR, BOCA RATON, FL 33428-6654
(561) 483-9955
(561) 483-9954
Mailing address
23008 SANDALFOOT PLAZA DR, BOCA RATON, FL 33428-6654
(561) 483-9955
(561) 483-9954
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH4464
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050260000
—
FL
01
—
70483
BLUE CROSS BLUE SHIELD
FL
01
—
70483
MEDICARE PTAN
—
Enumeration date
12/09/2010
Last updated
05/10/2011
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