Individual
KOREY ANN KOMOROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
871 VENETIA BAY BLVD STE 203, VENICE, FL 34285-8047
(941) 416-2077
Mailing address
871 VENETIA BAY BLVD STE 203, VENICE, FL 34285-8047
(941) 416-2077
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
CRC1332010
FL
171WH0202X
Home Modifications Contractor
Primary
CRC1332010
FL
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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