Provider Demographics
NPI:1093892291
Name:KLEINBERG, SHELDON (RPH)
Entity Type:Individual
Prefix:MR
First Name:SHELDON
Middle Name:
Last Name:KLEINBERG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19320 NE 18TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-3636
Mailing Address - Country:US
Mailing Address - Phone:305-932-6091
Mailing Address - Fax:
Practice Address - Street 1:19320 NE 18TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-3636
Practice Address - Country:US
Practice Address - Phone:305-932-6091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2024-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL7667183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist