Individual
DR. JUANITO CORRALES TABOADA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
730 SE 5TH TER, CRYSTAL RIVER, FL 34429-4852
(352) 795-2246
(352) 795-1034
Mailing address
730 SE 5TH TER, CRYSTAL RIVER, FL 34429-4852
(352) 795-2246
(352) 795-1034
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25493
FL
Other
Enumeration date
02/01/2006
Last updated
07/08/2007
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