Provider Demographics
NPI:1922049220
Name:KLINGBEIL, SHUILIN NGAN (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:SHUILIN
Middle Name:NGAN
Last Name:KLINGBEIL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 KENNEDY DR
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-4023
Mailing Address - Country:US
Mailing Address - Phone:305-517-6551
Mailing Address - Fax:305-735-4682
Practice Address - Street 1:1200 KENNEDY DR
Practice Address - Street 2:2ND FLOOR
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4023
Practice Address - Country:US
Practice Address - Phone:305-517-6551
Practice Address - Fax:305-735-4682
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP844312207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000412600Medicaid
FL000412600Medicaid