Correa, Miguel Angel

Correa, Miguel Angel is an individual health care provider with primary practice located at 215 N 3Rd St , Leesburg FL 34748-5105. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Correa, Miguel Angel can be contacted via phone (787) 594-8079.

Contact Information

Primary practice address
215 N 3Rd St Leesburg FL 34748-5105
Phone: (787) 594-8079
Fax: (352) 360-6582
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 13941 Puerto Rico
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ACN 603 Florida

Profile Details

NPI number 1710198239
LBN Legal business name Correa, Miguel Angel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Jan 29th, 2015 - about 10 years 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 1710198239 NPPES
Florida MEDICAID 013891700
Florida Other IA462

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