Organization
PROFESSIONAL PSYCHOLOGICAL SERVICES OF FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JOSEPH KLUKOFF PSY.D. (PSYCHOLOGIST)
(813) 351-9235
Entity
Organization
Contact information
Practice address
15525 STARLING CROSSING DR, LITHIA, FL 33547-4021
(813) 351-9235
Mailing address
PO BOX 441, LITHIA, FL 33547-0441
(813) 351-9235
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
02/10/2020
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