Whalio Doctors

NPI 1063080802

Rachel Anne Courson

Practitioner Dentist Port Charlotte, FL

Practice location

Address
17178 Toledo Blade Blvd, Port Charlotte, FL 33954-2626
Phone
(941) 625-7877
Mailing address
695 W Baffin Dr, Venice, FL 34293-5674

Registered specialties

Dentist Primary
Dental Providers Taxonomy 122300000X Licence 25971 (FL)

Registry record

NPI
1063080802
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Jun 2021
Record last updated
17 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.