Correa- Mateo, Lidzoe

Correa- Mateo, Lidzoe is an individual health care provider with primary practice located at 5985 S Florida Ave , Lakeland FL 33813-2533. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Correa- Mateo, Lidzoe can be contacted via phone (863) 644-8459.

Contact Information

Primary practice address
5985 S Florida Ave Lakeland FL 33813-2533
Phone: (863) 644-8459
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN895 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X 17095 Puerto Rico

Profile Details

NPI number 1609040229
LBN Legal business name Correa- Mateo, Lidzoe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2008
Last updated May 7th, 2024 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609040229 NPPES
Florida Other ACN895 FLORIDA LICENSE

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