Individual
KIM A BOKANKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 WOODCOCK RD, SUITE 212, ORLANDO, FL 32803-3525
(407) 893-3180
(407) 893-3181
Mailing address
1040 WOODCOCK RD, SUITE 212, ORLANDO, FL 32803-3525
(407) 893-3180
(407) 893-3181
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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