Individual
DR. ANA REBECCA KLENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6619 N WICKHAM RD, MELBOURNE, FL 32940-2006
(321) 259-9500
(321) 574-8656
Mailing address
6619 N WICKHAM RD, MELBOURNE, FL 32940-2006
(321) 434-1771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME144306
FL
208M00000X
Hospitalist Physician
ME144306
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106733000
—
FL
01
—
MP473
MEDICARE
FL
Enumeration date
12/11/2006
Last updated
07/08/2020
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