Klitenick, Michael P

Klitenick, Michael P is an individual health care provider with primary practice located at 3136 Northside Dr , Key West FL 33040-8027. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Klitenick, Michael P can be contacted via phone (305) 294-1041.

Contact Information

Primary practice address
3136 Northside Dr Key West FL 33040-8027
Phone: (305) 294-1041
Fax: (305) 293-0990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0031698 Florida

Profile Details

NPI number 1245332469
LBN Legal business name Klitenick, Michael P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Oct 5th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245332469 NPPES
Florida Other 93832 PROVIDER INDV. NUMBER
Florida MEDICAID 067446000 PROVIDER INDV. NUMBER

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