Individual
MR. CHARLES JAMES MCCLUSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6500 66TH ST, PINELLAS PARK, FL 33781-5030
(727) 347-1286
(727) 345-3084
Mailing address
6500 66TH STREET NORTH, PINELLAS PARK, FL 33704-3537
(727) 347-1286
(727) 384-8224
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1840
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y0EV6
BCBS OF FLORIDA
FL
Enumeration date
01/30/2007
Last updated
02/27/2013
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