Individual
MS. GINA MARIE CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1611 NW 12TH AVE # C300, MIAMI, FL 33136
(305) 585-6586
(305) 585-5830
Mailing address
PO BOX 12493, MIAMI, FL 33101-2493
(305) 585-5315
(305) 355-2242
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9395127
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022517800
—
FL
Enumeration date
03/14/2007
Last updated
07/11/2018
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