Individual
GARY I KLEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1580 NW 10TH AVE, MIAMI, FL 33136-1013
(305) 213-8533
Mailing address
1580 NW 10TH AVE, MIAMI, FL 33136-1013
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME77504
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01141X
MEDICARE PTAN
FL
05
—
2617251-00
—
FL
Enumeration date
06/29/2006
Last updated
11/11/2022
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