Andre Erich Correa in Lake Worth - General Practice
Andre Erich Correa - NPI 1033166673
Andre Erich Correa is a General Practice in Lake Worth, Florida. Andre Erich Correa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Andre Erich Correa is 1033166673. The last update date is 2008-06-16.
Andre Erich Correa's current location address is 2306 Park St, Lake Worth, Florida. You can contact this provider via phone number 5616416067. The mailing address for Andre Erich Correa is 2306 Park St, Lake Worth, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andre Erich Correa |
|---|---|
| Address | 2306 Park St, Lake Worth, Florida |
| Phone Number | 5616416067 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1033166673 |
|---|---|
| Provider Enumeration Date | 2006-05-28 |
| Last Updated Date | 2008-06-16 |
Provider Mailing Address Detail
| Address | 2306 Park St |
|---|---|
| City | Lake Worth |
| State | Florida (FL) |
| Post Code | 334606136 |
| Phone Number | 5616416067 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 12480 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12480 | PR | MEDICAL LICENSE |
Post Comment/ Review Below
What is the Andre Erich Correa's 1033166673?
The Andre Erich Correa's NPI (National Provider Identifier) Number is 1033166673. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Andre Erich Correa is geographically located?
The Andre Erich Correa is physically situated at the following location: 2306 Park St, Lake Worth, FL, 334606136.
What is Andre Erich Correa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Andre Erich Correa is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.
On what date did the Andre Erich Correa receive its 1033166673 assignment from the Centers for Medicare & Medicaid Services?
The Andre Erich Correa was assigned its 1033166673 by the Centers for Medicare & Medicaid Services on 2006-05-28.
As of what date was the information regarding Andre Erich Correa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Andre Erich Correa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-16.