Individual
LIBAN VERDECIA CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8402 STANDISH BEND DR, TAMPA, FL 33615-3251
(786) 675-2109
Mailing address
8402 STANDISH BEND DR, TAMPA, FL 33615-3251
(786) 675-2109
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9524250
FL
363LF0000X
Family Nurse Practitioner
F06220224
FL
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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