MR. ERIC SCOTT KLUG P.A. NPI 1124105259

NPI Information

NPI: 1124105259
Provider Name: MR. ERIC SCOTT KLUG, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
4620 N HABANA AVE STE 101
TAMPA, FL
ZIP 33614
Phone: (813) 875-9362
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MR. Eric Scott Klug, P.A. is a medical physician assistant in Tampa, FL with 19 years of experience. MR. Eric Scott Klug, P.A. NPI is 1124105259. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4620 N HABANA AVE STE 101
TAMPA, FL
ZIP 33614-107
Phone: (813) 875-9362
Fax: (813) 876-7055

The NPI 1124105259 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 12/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA9103515	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	292475700	MEDICAID	FLORIDA
2	P00604695	OTHER	FLORIDA	MEDICARE RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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