Individual
COURTNAE LATONYA COOPER WALFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2 N BELCHER RD, CLEARWATER, FL 33765-3201
(727) 449-2224
Mailing address
3300 S UNIVERSITY DR, FT LAUDERDALE, FL 33328-2004
(754) 422-8462
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9119305
FL
Other
Enumeration date
09/28/2024
Last updated
10/04/2024
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