Individual
MR. ERIC SCOTT KLUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
4620 N HABANA AVE STE 101, TAMPA, FL 33614-7107
(813) 875-9362
(813) 876-7055
Mailing address
4620 N HABANA AVE STE 101, TAMPA, FL 33614-7107
(813) 875-9362
(813) 876-7055
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103515
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292475700
—
FL
01
—
P00604695
MEDICARE RAILROAD
FL
Enumeration date
11/01/2006
Last updated
12/14/2021
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