CHARLES V KLUCKA DO PA

FORT MYERS, FL
NPI1710946470
Entity TypeOrganization
Authorized ContactCHARLES V. KLUCKA
Owner
239-939-2246
Organization Subpart ?No
Primary Taxonomy207KA0200X Allergy & Immunology, Allergy
(Licence: FL  0S 0006759)
Enumeration Date2006-03-21
Last Update Date2008-11-25
Business Address
CHARLES V KLUCKA DO PA
9671 GLADIOLUS DR SUITE #104
FORT MYERS, FL 33908-7606
Phone number: 239-939-2246
Mailing Address
CHARLES V KLUCKA DO PA
9671 GLADIOLUS DR SUITE #104
FORT MYERS, FL 33908-7606
Phone number: 239-939-2246