Individual
DIANA M CORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4700 EXCHANGE CT STE 185, BOCA RATON, FL 33431-4450
(877) 345-5300
Mailing address
4700 EXCHANGE CT STE 185, BOCA RATON, FL 33431-4450
(877) 345-5300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
10/22/2014
Last updated
08/06/2021
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