Provider Demographics
NPI:1194809152
Name:KLAUBER-CHOEPHEL, ENID (MD)
Entity type:Individual
Prefix:DR
First Name:ENID
Middle Name:
Last Name:KLAUBER-CHOEPHEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ENID
Other - Middle Name:
Other - Last Name:KLAUBER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:214 MORRISON RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-4849
Mailing Address - Country:US
Mailing Address - Phone:813-681-6474
Mailing Address - Fax:813-681-9092
Practice Address - Street 1:214 MORRISON RD
Practice Address - Street 2:SUITE 104
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511
Practice Address - Country:US
Practice Address - Phone:813-681-6474
Practice Address - Fax:813-681-9092
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88375207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL269480800OtherGRP MEDICAID #
FLP00235666OtherRR MEDICARE #
FLCC1866OtherGRP RR MEDICARE #
FL45236OtherGRP BLUE CROSS #
FLK0957OtherGRP MEDICARE #
FL269481600Medicaid
FL37556OtherBLUE CROSS #
FLCC1866OtherGRP RR MEDICARE #
FL37556OtherBLUE CROSS #