Basic Information
| Provider Information | |||||||||
| NPI: | 1326208414 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KLINGER | ||||||||
| FirstName: | DANIEL | ||||||||
| MiddleName: | ROBERT | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1700 NW 49TH ST STE 125 | ||||||||
| Address2: | |||||||||
| City: | FORT LAUDERDALE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333093750 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9547636655 | ||||||||
| FaxNumber: | 9547636799 | ||||||||
| Practice Location | |||||||||
| Address1: | 1601 S ANDREWS AVE FL 3 | ||||||||
| Address2: | |||||||||
| City: | FORT LAUDERDALE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333162509 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9547636655 | ||||||||
| FaxNumber: | 9547636799 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2008 | ||||||||
| LastUpdateDate: | 08/01/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/29/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207T00000X | 036143690 | IL | N | Allopathic & Osteopathic Physicians | Neurological Surgery | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207T00000X | MD202786 | OR | Y | Allopathic & Osteopathic Physicians | Neurological Surgery |
No ID Information.