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Individual

DR. MARC B KLEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
7050 W PALMETTO PARK RD, SUITE #18, BOCA RATON, FL 33433-3426
(561) 447-7571
(561) 447-7574
Mailing address
7050 W PALMETTO PARK RD, SUITE #18, BOCA RATON, FL 33433-3426
(561) 447-7571
(561) 447-7574

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO 1505
FL
213EP1101X
Primary Podiatric Medicine Podiatrist
PO 1505
FL
213ES0000X
Sports Medicine Podiatrist
Primary
PO 1505
FL
213ES0131X
Foot Surgery Podiatrist
PO 1505
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
390121101
FL
01
480019906
RAILROAD MEDICARE
FL
01
87854X
MEDICARE
FL
Enumeration date
08/15/2005
Last updated
04/05/2010
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