Individual
RICHARD P KLUCZNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 615-7075
(813) 615-8086
Mailing address
DEPT 488, PO BOX 4346, HOUSTON, TX 77210-4346
(713) 441-7558
(713) 790-2948
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
ME157552
FL
2085R0202X
Diagnostic Radiology Physician
J2643
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128899501
—
TX
Enumeration date
10/25/2005
Last updated
04/04/2023
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