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Individual

MANUEL BERZOSA CORELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4300 ALTON RD, GUMENICK BUILDING, SUITE 2522, MIAMI BEACH, FL 33140-2948
(305) 674-2849
(305) 535-7919
Mailing address
4300 ALTON RD, GUMENICK BUILDING, SUITE 2522, MIAMI BEACH, FL 33140-2948
(305) 674-2240
(305) 674-3961

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME116511
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1336317171
NPI
Enumeration date
02/14/2008
Last updated
11/06/2015
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