Provider Demographics
NPI:1558959668
Name:GLEIBER, MARNI KLESSMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARNI
Middle Name:KLESSMAN
Last Name:GLEIBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9068 REDONDA DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-1060
Mailing Address - Country:US
Mailing Address - Phone:917-270-3858
Mailing Address - Fax:
Practice Address - Street 1:9068 REDONDA DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-1060
Practice Address - Country:US
Practice Address - Phone:917-270-3858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME108418208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation