Individual
MICHELLE ANDREA KORKOLEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-1748
Mailing address
392 COUNTY ROAD 754, RICEVILLE, TN 37370-5245
(813) 516-3052
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9516622
FL
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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