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Individual

MS. SYLVIA CORSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AHCA PROVIDER

Contact information

Practice address
5100 LAS VERDES CIR, APT. 114, DELRAY BEACH, FL 33484-8094
(561) 495-9671
(561) 495-9671
Mailing address
5100 LAS VERDES CIR, APT. 114, DELRAY BEACH, FL 33484-8094
(561) 495-9671
(561) 495-9671

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
229170
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
229170
AHCA LICENSE NUMBER
FL
Enumeration date
06/21/2007
Last updated
07/08/2007
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