Sklenicka, Russell

Sklenicka, Russell is an individual health care provider with primary practice located at 1600 Lakeland Hills Blvd , Lakeland FL 33805-3019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Sklenicka, Russell can be contacted via phone (863) 680-7000.

Contact Information

Primary practice address
1600 Lakeland Hills Blvd Lakeland FL 33805-3019
Phone: (863) 680-7000
Fax: (863) 680-7420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME22539 Florida

Profile Details

NPI number 1477525400
LBN Legal business name Sklenicka, Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jan 1st, 2016 - about 10 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 1477525400 NPPES
Florida MEDICAID 037287100

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