Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | ME001731 | FL |
Y | 111NI0900X | Internist | ME001731 | FL |
NPI | 1003021999 |
---|---|
Provider Name | Ronald S. Kline |
First Address | St Petersburg, FL 33710-3660 |
Second Address | St Petersburg, FL 33710-3660 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 08/07/2007 |