MRS. LORALEE KOONTZ, PA

Physician Assistant

Active Individual
NPI: 1750490629

Practice Address

2605 W. SWANN AVE
SUITE 300
Tampa, FL 33609

Phone: (813) 872-9551

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA9101349 (FL)

Frequently Asked Questions

NPI 1750490629 is the National Provider Identifier for MRS. LORALEE KOONTZ, PA, a Physician Assistant provider located in Tampa, FL. This NPI was enumerated on August 30, 2006.
MRS. LORALEE KOONTZ, PA practices at 2605 W. SWANN AVE, SUITE 300, Tampa, FL 33609.

Quick Facts

NPI
1750490629
Type
Individual
Enumerated
Aug 30, 2006
Last Updated
Jul 11, 2012

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