Organization
CORRADO LLC
Active
Other names
Osprey Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA MARIE CORRADO ARNP (MGR)
(321) 615-5560
Entity
Organization
Contact information
Practice address
1698 B WEST HIBISCUS BLVD, SUITE B, MELBOURNE, FL 32901-2639
(321) 917-2042
(334) 560-1469
Mailing address
1698 B WEST HIBISCUS BLVD, SUITE B, MELBOURNE, FL 32901-2639
(321) 917-2042
(334) 560-1469
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
363LC0200X
Critical Care Medicine Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307023900
—
FL
Enumeration date
07/29/2011
Last updated
03/11/2019
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