Individual
ANN KLEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
133 BENMORE DR, SUITE 200, WINTER PARK, FL 32792-4111
(407) 646-7070
(407) 646-7747
Mailing address
133 BENMORE DR, SUITE 200, WINTER PARK, FL 32792-4111
(407) 646-7070
(407) 646-7747
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME 91757
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01503X
MEDICARE PTAN
FL
05
—
015891300
—
FL
05
—
271897900
—
FL
Enumeration date
11/24/2006
Last updated
03/03/2016
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