person
Mr. Eric Scott Klug, PA
Medical Physician Assistant in Tampa, Florida
NPI 1124105259

Eric Scott Klug is a Medical Physician Assistant based in Tampa, FL and is specialized in Medical. Eric Scott Klug practices in Tampa, FL and has the professional credentials of PA. The NPI Number for Eric Scott Klug is 1124105259 and holds a License No. PA9103515 (Florida).

The current practice location address for Eric Scott Klug is 4620 N Habana Ave Ste 101, Tampa, FL and can be reached out via phone at 813-875-9362 and via fax at 813-876-7055.

Location: 4620 N Habana Ave Ste 101, Tampa, FL, 33614-7107
person
Provider Profile Details
NPI Number
1124105259
Provider Name
Eric Scott Klug
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
4620 N Habana Ave Ste 101, Tampa, FL, 33614-7107
Phone Number
813-875-9362
Fax Number
813-876-7055
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
292475700 05 FL
P00604695 01 FL MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
4620 N Habana Ave Ste 101
City
State
Zip
33614-7107
Phone Number
813-875-9362
Fax Number
813-876-7055
person
Provider Business Mailing Address Details
Address
4620 N Habana Ave Ste 101
City
State
Zip
33614-7107
Phone Number
813-875-9362
Fax Number
813-876-7055
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9103515 (Florida)
Definition
Definition to come...
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