Individual
DOUGLAS WILLIAM KLOTCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3450 E FLETCHER AVENUE, SUITE 260, TAMPA, FL 33613
(813) 977-1350
(813) 977-1360
Mailing address
3450 E FLETCHER AVENUE, SUITE 260, TAMPA, FL 33613
(813) 977-1350
(813) 977-1360
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
1410211
NY
207Y00000X
Otolaryngology Physician
Primary
ME55312
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04545
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/25/2006
Last updated
07/08/2007
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