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Organization
KCC HEALTH CARE
Active
Organization
KCC HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARELIA CARRALERO CORELLA (ONWER)
(786) 663-5171
Entity
Organization
Contact information
Practice address
6371 76TH AVE N, PINELLAS PARK, FL 33781-3153
(727) 258-4847
Mailing address
6371 76TH AVE N, PINELLAS PARK, FL 33781-3153
(727) 258-4847
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
MA60371
FL
Other
Enumeration date
06/10/2018
Last updated
06/14/2024
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