Klucznik, Richard P

Klucznik, Richard P is an individual health care provider with primary practice located at 3100 E Fletcher Ave , Tampa FL 33613-4613. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Klucznik, Richard P can be contacted via phone (813) 615-7075.

Contact Information

Primary practice address
3100 E Fletcher Ave Tampa FL 33613-4613
Phone: (813) 615-7075
Fax: (813) 615-8086
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X J2643 Texas
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X ME157552 Florida

Profile Details

NPI number 1235129958
LBN Legal business name Klucznik, Richard P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Apr 4th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235129958 NPPES
Texas MEDICAID 128899501

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