Individual
LIAT CORCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4425 PONCE DE LEON BLVD, SUITE 115, CORAL GABLES, FL 33146-1837
(305) 667-3152
Mailing address
4425 PONCE DE LEON BLVD, SUITE 115, CORAL GABLES, FL 33146-1837
(305) 667-3152
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
112450
FL
208000000X
Pediatrics Physician
240475
MA
Other
Enumeration date
06/23/2009
Last updated
08/06/2015
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