Individual
GLORIA P. CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 NW 12TH AVE # 402L, MIAMI, FL 33136-1005
(305) 585-1111
Mailing address
17972 NW 59TH AVE UNIT 105, HIALEAH, FL 33015-5178
(305) 585-1111
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9291519
FL
363LG0600X
Gerontology Nurse Practitioner
ARNP9291519
FL
Other
Enumeration date
03/14/2018
Last updated
12/18/2020
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