Provider Demographics
NPI:1134156771
Name:KLAUSNER, ROBERT DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DAVID
Last Name:KLAUSNER
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 1:2007 IMPERIAL GOLF COURSE BLVD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-1068
Mailing Address - Country:US
Mailing Address - Phone:239-498-4968
Mailing Address - Fax:239-498-0149
Practice Address - Street 1:26800 S TAMIAMI TRL STE 360
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34134-4355
Practice Address - Country:US
Practice Address - Phone:239-498-4968
Practice Address - Fax:239-498-0149
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2024-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 65586207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL259353000Medicaid
FLF69794Medicare UPIN
FL35760Medicare ID - Type Unspecified