| Ronald G Kludo Do Pa | |
|
7653 Lkake Worth Lake Worth FL 33467 | |
| (561) 434-9066 | |
| Not Available |
| Full Name | Ronald G Kludo Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 7653 Lkake Worth, Lake Worth, Florida |
| Authorized Official Name and Position | Ronald G Kludo (PHYSICAN) |
| Authorized Official Contact | 5614349066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald G Kludo Do Pa 7653 Lkake Worth Lake Worth FL 33467 Ph: (561) 434-9066 | Ronald G Kludo Do Pa 7653 Lkake Worth Lake Worth FL 33467 Ph: (561) 434-9066 |
| NPI Number | 1972895456 |
|---|---|
| Provider Enumeration Date | 05/03/2011 |
| Last Update Date | 05/17/2011 |
| Medicare PECOS PAC ID | 7517143159 |
|---|---|
| Medicare Enrollment ID | O20110517000360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972895456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ronald G Kludo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689725533 PECOS PAC ID: 6305021619 Enrollment ID: I20110502000666 |
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