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Individual

WILLIAM DANIEL CORREAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
5810 CORAL RIDGE DR STE 300, CORAL SPRINGS, FL 33076-3377
(954) 414-7700
(954) 840-0850
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(954) 753-7870
(954) 752-0032

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9109760
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107282500
FL
Enumeration date
02/26/2012
Last updated
11/24/2021
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