Individual
DR. KORTNI S FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6307
(813) 870-4933
(813) 870-4887
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4928
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME 105149
FL
208M00000X
Hospitalist Physician
Primary
ME105149
FL
208VP0014X
Interventional Pain Medicine Physician
ME 105149
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013853700
—
FL
Enumeration date
10/15/2007
Last updated
03/17/2015
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