Individual
DR. JAY B KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D. PA
Contact information
Practice address
924 CANDLELIGHT BLVD, BROOKSVILLE, FL 34601-3116
(352) 796-4833
(352) 799-0462
Mailing address
924 CANDLELIGHT BLVD, BROOKSVILLE, FL 34601-3116
(352) 796-4833
(352) 799-0462
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC0001805
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078715900
—
FL
Enumeration date
07/13/2006
Last updated
07/11/2012
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