Individual
CARL CORLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2640 FOREST HILL BLVD, WEST PALM BEACH, FL 33406-5931
(561) 616-8411
Mailing address
9102 DUCALE WAY APT 208, PALM BEACH GARDENS, FL 33418-8164
(561) 371-8474
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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