Individual
DR. ENID KLAUBER-CHOEPHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
214 MORRISON RD, SUITE 104, BRANDON, FL 33511
(813) 681-6474
(813) 681-9092
Mailing address
214 MORRISON RD, SUITE 104, BRANDON, FL 33511-4849
(813) 681-6474
(813) 681-9092
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME88375
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
269480800
GRP MEDICAID #
FL
05
—
269481600
—
FL
01
—
37556
BLUE CROSS #
FL
01
—
45236
GRP BLUE CROSS #
FL
01
—
CC1866
GRP RR MEDICARE #
FL
01
—
K0957
GRP MEDICARE #
FL
01
—
P00235666
RR MEDICARE #
FL
Enumeration date
10/25/2006
Last updated
08/04/2022
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