Individual
MR. RONALD GARY KLUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP-AGACNP-BC
Contact information
Practice address
1900 N MILLS AVE STE 107, ORLANDO, FL 32803-1460
(407) 894-4880
(407) 894-2364
Mailing address
1900 N MILLS AVE STE 107, ORLANDO, FL 32803-1460
(407) 894-4880
(407) 894-2364
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11018286
FL
363LA2100X
Acute Care Nurse Practitioner
AP8652
AZ
Other
Enumeration date
08/02/2016
Last updated
08/23/2022
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