Individual
BEATRIZ CORRALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1054 GATEWAY BLVD, BOYNTON BEACH, FL 33426-8301
(561) 738-4770
(561) 738-9727
Mailing address
7740 BOYNTON BEACH BLVD, BOYNTON BEACH, FL 33437-3804
(561) 752-8000
(561) 752-8001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102124
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC595Y
MEDICARE PTAN
FL
Enumeration date
02/14/2007
Last updated
10/22/2015
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