Eric Scott Klug is a Medical in Tampa, Florida. Eric Scott Klug practices all healthcare services and medical treatments related to Medical. The NPI Number for Eric Scott Klug is 1124105259. The last update date is 2021-12-14.
Eric Scott Klug's current location address is 4620 N Habana Ave Ste 101, Tampa, Florida. You can contact this provider via phone number 8138759362 and fax number 8138767055. The mailing address for Eric Scott Klug is 4620 N Habana Ave Ste 101, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Scott Klug |
|---|---|
| Address | 4620 N Habana Ave Ste 101, Tampa, Florida |
| Phone Number | 8138759362 |
| Fax Number | 8138767055 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1124105259 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2021-12-14 |
Provider Mailing Address Detail
| Address | 4620 N Habana Ave Ste 101 |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336147107 |
| Phone Number | 8138759362 |
| Fax Number | 8138767055 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA9103515 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 292475700 | FL | -- | |
| P00604695 | FL | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique identification code assigned to Eric Scott Klug by the Centers for Medicare & Medicaid Services?
The Eric Scott Klug has been issued the NPI (National Provider Identifier) 1124105259. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Eric Scott Klug's facilities are geographically located?
The facilities of Eric Scott Klug are physically situated at the following location: 4620 N Habana Ave Ste 101, Tampa, FL, 336147107.
What is Eric Scott Klug's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eric Scott Klug is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1124105259 to Eric Scott Klug?
The Centers for Medicare & Medicaid Services assigned the 1124105259 to Eric Scott Klug on 2006-11-01.
As of what date were the details related to Eric Scott Klug most recently updated or revised?
The information pertaining to Eric Scott Klug, including its address, specialty, and other relevant details, was last updated or revised on 2021-12-14.
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