Individual
DR. CHARLES T KLODELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6440 W NEWBERRY RD, SUITE 102, GAINESVILLE, FL 32605-4381
(352) 333-5610
(352) 333-5611
Mailing address
6440 W NEWBERRY RD, SUITE 102, GAINESVILLE, FL 32605-4381
(352) 333-5610
(352) 333-5611
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME85194
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265166100
—
FL
Enumeration date
06/25/2006
Last updated
01/27/2022
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