Individual
MARIE KOTENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5301 S CONGRESS AVE, ATLANTIS, FL 33462-1149
(561) 548-3836
Mailing address
5301 S CONGRESS AVE, ATLANTIS, FL 33462-1149
(561) 548-3836
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301112188
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
ME146375
FL
Other
Enumeration date
06/09/2017
Last updated
08/30/2023
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