CHARLES V KLUCKA DO PA NPI 1710946470

NPI Information

CHARLES V KLUCKA DO PA is an allergy allergy immunology in Fort Myers, FL. CHARLES V KLUCKA DO PA NPI is 1710946470. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9671 GLADIOLUS DR
SUITE #104
FORT MYERS, FL
ZIP 33908-606
Phone: (239) 939-2246
Fax: (239) 267-2929

The provider's authorized official is Charles V. Klucka .
The authorized official title is Owner and has the following contact phone number (239) 939-2246.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 11/25/2008.

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:

Other Identifiers

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