Individual
DR. MARIO J CORRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 PLYMOUTH AVE, DELAND, FL 32120
(386) 274-7800
Mailing address
PO BOX 9430, DAYTONA BEACH, FL 32120-9430
(386) 274-7800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
144722
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2017
Last updated
11/25/2020
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