NPI 1043490055

Charles V. Klucka, DO

Practitioner Allergy Physician Fort Myers, FL

Practice location

Address: 9671 Gladiolus Dr Suite #104, Fort Myers, FL 33908-7606
Phone: (239) 939-2246
Fax: (239) 267-2929

Registered specialties

Allergy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence OS 0006759 (FL)

Other Allergy & Immunology providers in Florida →

Registry record

NPI: 1043490055
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Nov 2007
Record last updated: 12 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.