Individual
CHEREKA SHANTAE KLUTTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
250 2ND ST E STE 4E, BRADENTON, FL 34208-1028
(941) 745-7251
Mailing address
456 COACHGATE CT, BALLWIN, MO 63021-8853
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2011018541
MO
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
OS19130
FL
Other
Enumeration date
08/19/2011
Last updated
12/20/2022
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