Individual
KOZETTE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3913 TROVATI ST, ORLANDO, FL 32839-8844
(407) 242-3975
Mailing address
3913 TROVATI ST, ORLANDO, FL 32839-8844
(407) 242-3975
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL13479
FL
Other
Enumeration date
05/27/2014
Last updated
06/15/2020
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