CHARLES V KLUCKA DO PA
Osteopathic Medicine in Fort Myers, FL

License number
Florida 0S 0006759
Category
Osteopathic Medicine
Type
Allergy
Owner
Name: DR. CHARLES V. KLUCKA DO
Title: OWNER
Phone: (239) 939-2246
Address
Address
9671 Gladiolus Dr Suite #104, Fort Myers, FL 33908
National Provider ID: 1710946470
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Charles V Klucka DO PA

Fort Myers, FL

Industry:
Osteopathic Physician's Office
Doing business as:
Charles V. Klucka, D.O., PA<br>Charles V Klucka DO PA Dr
Registration:
Sep 9, 1996
Site:
drklucka.com
Phone:
(239) 939-2246 (Phone)
Addresses:
9671 Gladiolus Dr STE 104, Fort Myers, FL 33908
9400 Gladiolus Dr, Fort Myers, FL 33908
State ID:
P96000074369
Business type:
Domestic for Profit Corporation
Receptionist Secretarys:
Charles V Klucka (Director, Allergy And Immunology, Osteopathy, Owner),Daniel Zeugin (Office Manager),Charles Kluckad (Osteopathy),...
Agent:
Charles V. Klucka
Categories:
Allergy Physicians

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