Individual
GUSTAVO ADOLFO CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1084 SUNSET STRIP, SUNRISE, FL 33313-6106
(954) 225-4454
(954) 530-3873
Mailing address
8148 CASCADA ISLES DR, HOLLYWOOD, FL 33024-8566
(954) 225-4454
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN358
FL
Other
Enumeration date
08/25/2010
Last updated
10/08/2021
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