| Richard S Klein Dc Pa | |
|
23008 Sandalfoot Plaza Dr, Boca Raton, FL 33428-6654 | |
| (561) 483-9955 | |
| (561) 483-9954 |
| Full Name | Richard S Klein Dc Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 23008 Sandalfoot Plaza Dr, Boca Raton, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174826374 | NPI | - | NPPES |
| 050260000 | Medicaid | FL | |
| 70483 | Other | MEDICARE PTAN | |
| 70483 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH4464 (Florida) | Primary |
| Provider Name | Richard S Klein |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194732768 PECOS PAC ID: 1153590310 Enrollment ID: I20110805000017 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard S Klein Dc Pa 23008 Sandalfoot Plaza Dr, Boca Raton, FL 33428-6654 Ph: (561) 483-9955 | Richard S Klein Dc Pa 23008 Sandalfoot Plaza Dr, Boca Raton, FL 33428-6654 Ph: (561) 483-9955 |
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Revive Management Company Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 9250 Glades Rd Ste 111, Boca Raton, FL 33434 Phone: 561-479-2880 | |
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