Organization
CHARLES V KLUCKA DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES V. KLUCKA DO (OWNER)
(239) 939-2246
Entity
Organization
Contact information
Practice address
9671 GLADIOLUS DR, SUITE #104, FORT MYERS, FL 33908-7606
(239) 939-2246
(239) 267-2929
Mailing address
9671 GLADIOLUS DR, SUITE #104, FORT MYERS, FL 33908-7606
(239) 939-2246
(239) 267-2929
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
0S 0006759
FL
Other
Enumeration date
03/21/2006
Last updated
11/25/2008
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