Provider Demographics
NPI:1215950589
Name:KLEBAN, DONNA H (MD)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:H
Last Name:KLEBAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 95000-7370
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-7370
Mailing Address - Country:US
Mailing Address - Phone:561-331-0808
Mailing Address - Fax:561-594-0880
Practice Address - Street 1:1411 N FLAGLER DR STE 8300
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3413
Practice Address - Country:US
Practice Address - Phone:561-832-2134
Practice Address - Fax:561-832-5316
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0056902208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3245OtherWELLCARE
FL7583OtherDIMENSION
FLP301250OtherFREEDOM
FL051476400Medicaid
FL1007902OtherCAREPLUS
FLP971180OtherOPTIMUM
FL11776OtherBCBS
FL204143OtherAVMED
FL5134292OtherAETNA
FL204143OtherAVMED
FLP971180OtherOPTIMUM
FL7583OtherDIMENSION