Klodell, Charles T

Klodell, Charles T is an individual health care provider with primary practice located at 6440 W Newberry Rd Suite 102, Gainesville FL 32605-4381. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Klodell, Charles T can be contacted via phone (352) 333-5610.

Contact Information

Primary practice address
6440 W Newberry Rd Suite 102 Gainesville FL 32605-4381
Phone: (352) 333-5610
Fax: (352) 333-5611
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME85194 Florida

Profile Details

NPI number 1053347468
LBN Legal business name Klodell, Charles T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Jan 27th, 2022 - about 3 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 1053347468 NPPES
Florida MEDICAID 265166100

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