Healthcare Provider Details

I. General information

NPI: 1013358126
Provider Name (Legal Business Name): AMANDA KLUZYNSKI AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2013
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33917 US HIGHWAY 19 N
PALM HARBOR FL
34684-2628
US

IV. Provider business mailing address

149 PLANTATION RIDGE DR STE 140
MOORESVILLE NC
28117-9175
US

V. Phone/Fax

Practice location:
  • Phone: 727-771-8770
  • Fax:
Mailing address:
  • Phone: 704-360-4788
  • Fax: 704-251-6746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY1807
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: