Individual
JAMES A KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 226-4590
(386) 226-4577
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 226-4590
(386) 226-4577
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-059942
IL
207P00000X
Emergency Medicine Physician
Primary
ME54335
FL
207Q00000X
Family Medicine Physician
ME54335
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020092600
—
FL
05
—
036059942
—
IL
01
—
09395
BCBS FL
FL
01
—
09395S
MEDICARE PTAN
FL
01
—
800810
MEDICARE GROUP NO.
—
01
—
809840
MEDICARE GROUP NO.
—
01
—
P00253925/CA4079
RR MEDICARE
—
Enumeration date
06/29/2006
Last updated
03/24/2020
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