Individual
KOURTNEY JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
715 LORI DR APT 304, PALM SPRINGS, FL 33461-7104
(772) 267-8759
Mailing address
715 LORI DR APT 304, PALM SPRINGS, FL 33461-7104
(772) 267-8759
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CL1282037
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J520512896770
—
FL
Enumeration date
09/08/2020
Last updated
09/08/2020
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