Organization
JACK MAREK KLEM, MD PA
Active
Organization
JACK MAREK KLEM, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK MAREK KLEM MD (OWNER)
(786) 607-8047
Entity
Organization
Contact information
Practice address
11760 SW 40TH ST, MIAMI, FL 33175-3582
(305) 223-3000
Mailing address
13055 SW 42ND ST STE 201, MIAMI, FL 33175-3410
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME97440
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019067500
—
FL
Enumeration date
01/31/2018
Last updated
01/31/2018
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