Organization
CARLOS F. CORRALES, D.O., P.A.
Active
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
Update your record
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