Correal, William Daniel

Correal, William Daniel is an individual health care provider with primary practice located at 5810 Coral Ridge Dr Ste 300 , Coral Springs FL 33076-3377. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Correal, William Daniel can be contacted via phone (954) 414-7700.

Contact Information

Primary practice address
5810 Coral Ridge Dr Ste 300 Coral Springs FL 33076-3377
Phone: (954) 414-7700
Fax: (954) 840-0850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9109760 Florida

Profile Details

NPI number 1407120272
LBN Legal business name Correal, William Daniel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2012
Last updated Nov 24th, 2021 - about 3 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 1407120272 NPPES
Florida MEDICAID 107282500

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