Provider Demographics
NPI:1427001148
Name:HILGARTH, KLAUS A (MD)
Entity type:Individual
Prefix:
First Name:KLAUS
Middle Name:A
Last Name:HILGARTH
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 1:3901 UNIVERSITY BLVD S STE 200
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-4312
Mailing Address - Country:US
Mailing Address - Phone:904-732-6300
Mailing Address - Fax:904-792-5480
Practice Address - Street 1:3901 UNIVERSITY BLVD S STE 200
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-4312
Practice Address - Country:US
Practice Address - Phone:904-732-6300
Practice Address - Fax:904-792-5480
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME174615207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200112640Medicaid
ING34415Medicare UPIN
IN715530UUUMedicare PIN