Provider Demographics
NPI:1215943360
Name:KLEIN, DAVID S (MD,FACA,FACPM)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:S
Last Name:KLEIN
Suffix:
Gender:M
Credentials:MD,FACA,FACPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1917 BOOTHE CIR
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-6708
Mailing Address - Country:US
Mailing Address - Phone:407-679-3337
Mailing Address - Fax:407-678-7246
Practice Address - Street 1:1917 BOOTHE CIR
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-6708
Practice Address - Country:US
Practice Address - Phone:407-679-3337
Practice Address - Fax:407-678-7246
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81513207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLB10274Medicare UPIN
FLK2737Medicare ID - Type Unspecified