Individual
DR. RAUL GUSTAVO CORREDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-2602
(239) 343-9193
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2062
(239) 343-9193
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME120035
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016369200
—
FL
Enumeration date
06/02/2010
Last updated
07/31/2023
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