Individual
TRINA KLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9611 W BROWARD BLVD STE 800, PLANTATION, FL 33324-2334
(954) 924-7000
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(954) 315-5784
(954) 522-0755
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11003914
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11003914
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105072200
—
FL
Enumeration date
11/25/2019
Last updated
11/07/2023
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