Individual
DR. GARRICK LEONARD KLAYBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11215 METRO PKWY STE 100, FORT MYERS, FL 33966-1206
(239) 387-2695
Mailing address
620 N SALCEDO ST, NEW ORLEANS, LA 70119-4022
(504) 250-8167
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
300699
LA
2084P0800X
Psychiatry Physician
Primary
ME165848
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2332775
—
LA
Enumeration date
04/01/2013
Last updated
01/09/2024
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