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Individual

SUSAN V KLIMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.R.N.P.

Contact information

Practice address
1680 EAGLE HARBOR PKWY, SUITE A, ORANGE PARK, FL 32003-4806
(904) 264-9555
(904) 215-7960
Mailing address
PO BOX 16568, JACKSONVILLE, FL 32245-6568
(904) 472-2300
(904) 472-2330

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
ARNP 627972
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
308515500
FL
Enumeration date
07/16/2006
Last updated
07/22/2008
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