Robert J Klukoff (NPI# 1104130335, PAC ID# 2062536691) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1104130335 |
| PAC ID by PECOS | 2062536691 |
| Professional Enrollment ID | I20100902000621 |
| Full Name | Robert J Klukoff |
| Organization Legal Name | GULFSIDE BEHAVIORAL CARE NP INC |
| Address |
3914 E State Rd Suite 64 Bradenton FL 34208-9059 |
| Phone Number | 9417561200103 |
| Gender | M |
| Graduation Year | 1996 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 5193037190 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 | 9417561200103 | GULFSIDE BEHAVIORAL CARE NP INC |
| Organization Legal Name | GULFSIDE BEHAVIORAL CARE NP INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherri Garcia Prieto | Nurse Practitioner | Gulfside Behavioral Care Np Inc | 820 5th St W, Palmetto, FL 34221-5018 |
| Sarah Matilda Dixon-bowdell | Nurse Practitioner | Gulfside Behavioral Care Np Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Catherine I Mcdermott | Nurse Practitioner | Gulfside Behavioral Care Np Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Tanya Oppenheimer | Clinical Psychologist | Gulfside Behavioral Care Np Inc | 820 5th St W, Palmetto, FL 34221-5018 |
| Danielle Sookoor | Physician Assistant | Gulfside Behavioral Care Np Inc | 820 5th St W, Palmetto, FL 34221-5018 |
| Street Address |
3914 E STATE RD SUITE 64 |
| City | BRADENTON |
| State | FL |
| Zip | 34208-9059 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy Lee Sauer | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Katie A Spada | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Sarah Matilda Dixon-bowdell | Nurse Practitioner | Gulfside Behavioral Care Np Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Va Im | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Catherine I Mcdermott | Nurse Practitioner | Gulfside Behavioral Care Np Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Autumn Nicole Stevanus | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Linda J Copher | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Daniel J Johnson | Family Medicine | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Kristi Cay Kita | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sabrina Baker | Nurse Practitioner | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Bijal J Patel | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Michelle G Green | Nurse Practitioner | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Cassandra M. Hafner | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Ashley Metzgar | Physician Assistant | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Catherine Mauldin Cooper | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| James M Pineno | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Christopher M Cooper | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Natalie E Borg | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Andrew R Clark | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
| Find all physicians in zip 34208 | |||
| City | BRADENTON |
| Zip Code | 34208 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | BRADENTON + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Robert J Klukoff.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.