Individual
DR. CELESTE M. CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
636 DEL PRADO BLVD S STE A5510, CAPE CORAL, FL 33990
(239) 343-9237
(239) 343-9218
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-5537
(239) 343-9249
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1064131778
AZ
207Q00000X
Family Medicine Physician
ME133995
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023068200
—
FL
05
—
451964
—
AZ
Enumeration date
11/17/2005
Last updated
01/17/2022
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