Individual
COTY JO TINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1250 N VANTAGE POINT DR, CRYSTAL RIVER, FL 34429
(352) 795-0644
Mailing address
1250 N VANTAGE POINT DR, CRYSTAL RIVER, FL 34429-5736
(352) 795-0644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME133990
FL
Other
Enumeration date
04/08/2015
Last updated
08/02/2018
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