Individual
MRS. MARY LOU KORETSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2955 PINEDA PLAZA WAY STE 115, MELBOURNE, FL 32940-7306
(321) 254-7375
(321) 254-7145
Mailing address
2955 PINEDA PLAZA WAY STE 115, MELBOURNE, FL 32940-7306
(321) 254-7375
(321) 254-7145
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP3280292
FL
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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