# ACQUALINA MEDICAL GROUP AND THERAPEUTIC SERVICES INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124203096
- **Authorized official:** FLAVIO CORREA (PRESIDENT)
- **Authorized official phone:** (305) 269-8812

## Contact information

- **Practice address:** 8150 SW 8TH ST, SUITE 113, MIAMI, FL 33144-4263
- **Practice address phone:** (305) 269-8812
- **Practice address fax:** (305) 269-8814
- **Mailing address:** 8150 SW 8TH ST, SUITE 113, MIAMI, FL 33144-4263
- **Mailing address phone:** (305) 269-8812
- **Mailing address fax:** (305) 269-8814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/09/2008
- **Last updated:** 09/12/2008