Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | OS 6614 | FL |
NPI | 1003818261 |
---|---|
Provider Name | Scott Evan Klein |
First Address | Orlando, FL 32836-5858 |
Second Address | Winter Haven, FL 33880-6308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2005 |
Last Update Date | 15/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0803915 | UHC EVERCARE & SEC HORIZ (01) | FL |
0805121 | UNITED HEALTHCARE (01) | FL |
139494 | EYEMED (01) | FL |
1682897 | AETNA (01) | FL |
254752000 | (05) | FL |
80818 | BLUE CROSS BLUE SHIELD (01) | FL |
F64843 | (02) | FL |
P00455173 | RAILROAD MEDICARE (01) | FL |