Individual
COREY VALENTINO JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4625 E BAY DR STE 106, CLEARWATER, FL 33764-6866
(863) 619-2809
Mailing address
392 E EUFAULA ST, OZARK, AL 36360-0924
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
BACB1022830
FL
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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