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Individual

MARLAINA ORTIZ IANNOTTI

Active
Sole proprietor

Provider details

NPI number
Gender
F

Contact information

Practice address
17751 MURDOCK CIR, PORT CHARLOTTE, FL 33948-1034
(941) 743-8700
(941) 743-8850
Mailing address
17751 MURDOCK CIR, PORT CHARLOTTE, FL 33948-1034
(941) 743-8700
(941) 743-8850

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT 21901
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Y911K
BC/BS
FL
Enumeration date
05/18/2006
Last updated
07/08/2007
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