Provider Demographics
NPI:1083601413
Name:KLAIMAN, ALLAN P (MD)
Entity Type:Individual
Prefix:
First Name:ALLAN
Middle Name:P
Last Name:KLAIMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:668 N ORLANDO AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4459
Mailing Address - Country:US
Mailing Address - Phone:407-774-2431
Mailing Address - Fax:407-774-9473
Practice Address - Street 1:668 N ORLANDO AVE STE 105
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4459
Practice Address - Country:US
Practice Address - Phone:407-774-2431
Practice Address - Fax:407-774-9473
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-30
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME49054208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0499501-00Medicaid
FL0499501-00Medicaid
FLE22433Medicare UPIN