Individual provider · Type 1 NPI

Bradley Davis Jack Kleinert, PA-C

Medical Physician Assistant · Plantation, FL

NPI number 1629772231 Active

Practice location

8200 W Sunrise Blvd Bldg C
Plantation, FL 33322-5426

Call (954) 370-8585 Map

Mailing address

1591 NW 102nd Way
Coral Springs, FL 33071-3916

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X9117215 (FL)

Medical Physician Assistant: Definition to come...

13 other providers at this address

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About NPI 1629772231

Bradley Davis Jack Kleinert, PA-C's National Provider Identifier is 1629772231, issued on Mar 28, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Plantation, FL. The record was last updated on Mar 28, 2023.