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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