Individual
SANDRA CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1071 PORT MALABAR BLVD NE STE 106, PALM BAY, FL 32905-5161
(407) 720-8887
Mailing address
1071 PORT MALABAR BLVD NE STE 106, PALM BAY, FL 32905-5161
(407) 720-8887
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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