Provider Demographics
NPI:1134584147
Name:ROBERT D. KLAUSNER, MD, PA
Entity type:Organization
Organization Name:ROBERT D. KLAUSNER, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:KLAUSNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-498-4968
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-17
Last Update Date:2024-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic SurgeryGroup - Single Specialty