Correa, Angelica Manzolillo

Correa, Angelica Manzolillo is an individual health care provider with primary practice located at 1651 Se Tiffany Ave , Port St Lucie FL 34952-7564. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Correa, Angelica Manzolillo can be contacted via phone (772) 398-1800.

Contact Information

Primary practice address
1651 Se Tiffany Ave Port St Lucie FL 34952-7564
Phone: (772) 398-1800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X F347464-01 New York
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 11031122 Florida

Profile Details

NPI number 1952074189
LBN Legal business name Correa, Angelica Manzolillo
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2021
Last updated Jun 24th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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