Individual
JOSEPH P CORALLO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 N PINE ISLAND RD, PLANTATION, FL 33324-1849
(954) 236-5444
Mailing address
350 N PINE ISLAND RD, SUITE 300, PLANTATION, FL 33324-1849
(954) 236-5444
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
ME105090
FL
Other
Enumeration date
10/24/2008
Last updated
01/27/2017
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