Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | OS9272 | FL |
N | 207Q00000X | Family Doctor | OS9272 | FL |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | OS9272 | FL |
NPI | 1164626545 |
---|---|
Provider Name | Dr. Patricia Sara Klem |
First Address | Delray Beach, FL 33483-5244 |
Second Address | Boca Raton, FL 33496 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2007 |
Last Update Date | 14/06/2012 |