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Individual

DR. JUDITH ELLEN KLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
750 94 AVE N, #201, ST PETERSBURG, FL 33702
(727) 577-0981
(727) 576-4166
Mailing address
750 94 AVE N, #201, ST PETERSBURG, FL 33702
(727) 577-0981
(727) 576-4166

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS1738
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
81612
BCBS
Enumeration date
08/16/2006
Last updated
07/08/2007
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