Provider Demographics
NPI:1619209764
Name:KLAIMAN UROLOGY PA
Entity Type:Organization
Organization Name:KLAIMAN UROLOGY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:KLAIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-774-2431
Mailing Address - Street 1:668 N ORLANDO AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4473
Mailing Address - Country:US
Mailing Address - Phone:407-774-2431
Mailing Address - Fax:407-774-9473
Practice Address - Street 1:668 N. ORLANDO AVE SUITE 105
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751
Practice Address - Country:US
Practice Address - Phone:407-774-2431
Practice Address - Fax:407-774-9473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-31
Last Update Date:2012-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCV366BMedicare PIN
FLCV366AMedicare PIN