Individual
CSILLA KOROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4525 THOMASSON DR, NAPLES, FL 34112-6962
(239) 354-6500
Mailing address
6376 PINE RIDGE RD, NAPLES, FL 34119-3908
(239) 354-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11035765
FL
363LF0000X
Family Nurse Practitioner
RN2316156
MA
Other
Enumeration date
01/15/2022
Last updated
02/16/2025
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