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Individual

DR. LILIA M CORREA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
(813) 449-8086
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-4673
(813) 449-8086

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME133636
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0222275000
FL
01
Y0SH7
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/05/2012
Last updated
04/17/2026
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