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Individual

DR. ANDRE ERICH CORREA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2306 PARK ST, LAKE WORTH, FL 33460-6136
(561) 641-6067
Mailing address
2306 PARK ST, LAKE WORTH, FL 33460-6136
(561) 641-6067

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12480
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12480
MEDICAL LICENSE
PR
Enumeration date
05/28/2006
Last updated
06/16/2008
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