Provider Demographics
NPI:1861508087
Name:KLEIMAN, RICHARD S (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:S
Last Name:KLEIMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10823 BROADVIEW BAY PT
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33473-4904
Mailing Address - Country:US
Mailing Address - Phone:954-755-9049
Mailing Address - Fax:561-737-5266
Practice Address - Street 1:10823 BROADVIEW BAY PT
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33473-4904
Practice Address - Country:US
Practice Address - Phone:954-755-9049
Practice Address - Fax:561-737-5266
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME39808207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL94009OtherBLUE CROSS BLUE SHIELD
FLD63095Medicare UPIN
FL94009OtherBLUE CROSS BLUE SHIELD