Organization
CARLOS F. CORRALES, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN GONZALEZ JR. (BILLING MANAGER)
(954) 726-1808
Entity
Organization
Contact information
Practice address
16855 NE 2ND AVE, SUITE 302A, NORTH MIAMI BEACH, FL 33162-1744
(305) 653-8566
(305) 653-4055
Mailing address
16855 NE 2ND AVE, SUITE 302A, NORTH MIAMI BEACH, FL 33162-1744
(305) 653-8566
(305) 653-4055
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
OS0002969
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS0002969
MEDICAL LICENSE
FL
Enumeration date
02/22/2008
Last updated
02/22/2008
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