Individual
RUSSELL SKLENICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
(863) 680-7420
Mailing address
1220 LAKE POINT DR, LAKELAND, FL 33813-2810
(863) 646-9338
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME22539
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037287100
—
FL
Enumeration date
02/03/2006
Last updated
01/01/2016
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