Individual
ANNE SOCORRO CORRALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 W LINEBAUGH AVE, TAMPA, FL 33612-7855
(813) 915-0055
(813) 931-1552
Mailing address
825 W LINEBAUGH AVE, TAMPA, FL 33612-7855
(813) 915-0055
(813) 931-1552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME162514
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
10/13/2023
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