# STAGES OF LIFE MEDICAL INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790968485
- **Authorized official:** DR. DAVID S KLEIN M.D. (PHYSICIAN)
- **Authorized official phone:** (407) 679-3337

## Contact information

- **Practice address:** 1917 BOOTHE CIR, LONGWOOD, FL 32750-6708
- **Practice address phone:** (407) 679-3337
- **Mailing address:** 1917 BOOTHE CIRCLE, LONGWOOD, FL 32750-6708
- **Mailing address phone:** (407) 679-3337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | ME 81513 | FL | Yes |

## Other

- **Enumeration date:** 12/17/2007
- **Last updated:** 06/12/2013