Provider Demographics
NPI:1457592339
Name:KLEINMAN, DANA (DO)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:KLEINMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5428 LUCE RD
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-2951
Mailing Address - Country:US
Mailing Address - Phone:786-239-1766
Mailing Address - Fax:
Practice Address - Street 1:5428 LUCE RD
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-2951
Practice Address - Country:US
Practice Address - Phone:786-239-1766
Practice Address - Fax:407-289-4036
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-23
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS11037207R00000X, 208100000X
FLOS 11037207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine