Individual
ENIKO KORODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 KINGS HWY, PORT CHARLOTTE, FL 33980
(941) 356-1741
Mailing address
12077 WARDEN AVE, PORT CHARLOTTE, FL 33981
(941) 356-1741
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
28234
FL
Other
Enumeration date
09/03/2018
Last updated
09/03/2018
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