Provider Demographics
NPI:1447261466
Name:KLINE, NORMAN MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:MICHAEL
Last Name:KLINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 39209
Mailing Address - Street 2:#102
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33339
Mailing Address - Country:US
Mailing Address - Phone:954-851-9966
Mailing Address - Fax:954-318-7360
Practice Address - Street 1:1801 N UNIVERSITY DR
Practice Address - Street 2:SUITE 102
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071
Practice Address - Country:US
Practice Address - Phone:954-344-0999
Practice Address - Fax:954-344-7929
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2011-04-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0038745207W00000X
FLME38745207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL041496400Medicaid
FL79806ZMedicare PIN
D58932Medicare UPIN
FL79806YMedicare PIN
FL041496400Medicaid