Organization
2K MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES KLODELL (MBR)
(352) 332-0149
Entity
Organization
Contact information
Practice address
9618 SW 34TH LN, GAINESVILLE, FL 32608-8662
(352) 332-0149
Mailing address
9618 SW 34TH LN, GAINESVILLE, FL 32608-8662
(352) 332-0149
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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