Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | ME99124 | FL |
NPI | 1033157334 |
---|---|
Provider Name | Dr. Lynda Z Kleiman |
First Address | St Petersburg, FL 33701-1547 |
Second Address | Maitland, FL 32751 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 16/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001300900 | (05) | FL |
CH765Z | MEDICARE PTAN (01) | FL |