Individual
JONATHAN M KOOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10000 W SAMPLE RD STE B, CORAL SPRINGS, FL 33065-3936
(954) 234-5340
Mailing address
1050 NW 80TH AVE APT 204, MARGATE, FL 33063-3020
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
4013
FL
Other
Enumeration date
12/21/2018
Last updated
12/08/2022
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