Provider Demographics
NPI:1437402641
Name:IRA W KLIMBERG, M.D., PLLC
Entity Type:Organization
Organization Name:IRA W KLIMBERG, M.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IRA
Authorized Official - Middle Name:W
Authorized Official - Last Name:KLIMBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-237-6162
Mailing Address - Street 1:5593 SW 30TH AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-9568
Mailing Address - Country:US
Mailing Address - Phone:352-237-6162
Mailing Address - Fax:352-237-4259
Practice Address - Street 1:3201 SW 34TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-7439
Practice Address - Country:US
Practice Address - Phone:352-237-6162
Practice Address - Fax:352-237-4259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty