Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | ME 65586 | FL |
NPI | 1134156771 |
---|---|
Provider Name | Dr. Robert David Klausner |
First Address | Bonita Springs, FL 34135-8127 |
Second Address | Bonita Springs, FL 34135-8127 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 11/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
259353000 | (05) | FL |
F69794 | (02) | FL |