CHARLES V KLUCKA DO PA (NPI# 1710946470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710946470 |
| Entity Type | Organization |
| Organization Name | CHARLES V KLUCKA DO PA |
| Practice Address |
9671 Gladiolus Dr Suite #104 Fort Myers FL 33908-7606 |
| Practice Telephone | 2399392246 |
| Practice Fax Number | 2392672929 |
| Mailing Telephone | 2399392246 |
| Mailing Fax Number | 2392672929 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2008-11-25 |
| Authorized Official Name | DR. CHARLES V. KLUCKA (OWNER) |
| Authorized Official Telephone | 2399392246 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
0S 0006759 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
9671 GLADIOLUS DR SUITE #104 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-7606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821086240 | John D Strausbaugh | Family Medicine | 9671 Gladiolus Dr, Suite 109, Fort Myers, FL 33908-7684 | 2005-10-10 |
| 1417407727 | Clinical Lab Solutions LLC | Clinical Medical Laboratory | 9671 Gladiolus Dr, Suite 102, Fort Myers, FL 33908-7684 | 2016-10-11 |
| 1205093549 | John D Strausbaugh Do Pa | Family Medicine | 9671 Gladiolus Dr, Suite 109, Fort Myers, FL 33908-7684 | 2008-05-22 |
| 1043490055 | Charles V. Klucka | Allergy & Immunology | 9671 Gladiolus Dr, Suite #104, Fort Myers, FL 33908-7606 | 2007-11-07 |
| 1780744029 | Florida Gulf Internal Medicine Pa | Internal Medicine | 9671 Gladiolus Dr, Unit 107, Fort Myers, FL 33908-7606 | 2006-12-09 |
| 1750477709 | Britto Chinnappan | Internal Medicine | 9671 Gladiolus Dr, Unit 107, Fort Myers, FL 33908-7684 | 2006-10-05 |
| 1811004138 | Steven Berry Sager | Obstetrics & Gynecology | 9671 Gladiolus Dr, Ste 111, Fort Myers, FL 33908-7684 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851447403 | Donald Paul Schwartz | Allergy & Immunology | 2684 Swamp Cabbage Court, Fort Myers, FL 33901 | 2007-01-26 |
| 1275501454 | Mark Alan Greenberg | Allergy & Immunology | 12630 Whitehall Dr, Fort Myers, FL 33907-3619 | 2006-03-14 |
| 1043490055 | Charles V. Klucka | Allergy & Immunology | 9671 Gladiolus Dr, Suite #104, Fort Myers, FL 33908-7606 | 2007-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871133827 | Hugo Mcfarlane | Allergy & Immunology | 912 Se 6th St, Ft Lauderdale, FL 33301-3010 | 2020-01-07 |
| 1376069310 | Db Health Specialties Inc | Allergy & Immunology | 2455 Hollywood Blvd Ste 103, Hollywood, FL 33020-6605 | 2017-08-22 |
| 1578943171 | Yoomie Jane Lee | Allergy & Immunology | 7411 Miami Lakes Dr, Miami Lakes, FL 33014 | 2015-06-09 |
| 1265824387 | Jordyco Diagnostics LLC | Allergy & Immunology | 3915 Biscayne Blvd Ste 301, Miami, FL 33137-3730 | 2015-02-26 |
| 1780004481 | William Wood | Allergy & Immunology | 100 Worth Ave Apt 601, Palm Beach, FL 33480-4465 | 2014-04-21 |
| 1740555952 | Ari Yisrael Zelig | Allergy & Immunology | 7800 Sw 87th Ave Ste C-340, Miami, FL 33173-3570 | 2012-03-21 |
| 1538432190 | Brian Christopher Reed | Allergy & Immunology | 4343 Newberry Rd Ste 1, Gainesville, FL 32607 | 2012-02-13 |
| 1700159340 | Jeannette G Warner Md Pa | Allergy & Immunology | 1270 Malabar Rd Se Ste 1, Palm Bay, FL 32907-3407 | 2012-02-13 |
| 1588800171 | Stephen M Robbins | Allergy & Immunology | 504 Marsh Creek Rd, Venice, FL 34292-5308 | 2009-01-02 |
| 1174786149 | Health From Inside Out | Allergy & Immunology | 950 N Federal Hwy Ste 115, Pompano Beach, FL 33062-4314 | 2008-07-09 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on CHARLES V KLUCKA DO PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.