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:
Health care specialties
Specialty | Code | License # | 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 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053347468 | NPPES |
Florida | MEDICAID | 265166100 |
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