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Dr. Andre Erich Correa, MD
General Practice Physician in Lake Worth, Florida
NPI 1033166673

Andre Erich Correa is a General Practice Physician based in Lake Worth, FL. Andre Erich Correa practices in Lake Worth, FL and has the professional credentials of MD. The NPI Number for Andre Erich Correa is 1033166673 and holds a License No. 12480 (Florida).

The current practice location address for Andre Erich Correa is 2306 Park St, Lake Worth, FL and can be reached out via phone at 561-641-6067.

Location: 2306 Park St, Lake Worth, FL, 33460-6136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033166673
Provider Name
Andre Erich Correa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2306 Park St, Lake Worth, FL, 33460-6136
Phone Number
561-641-6067
Fax Number
Provider Enumeration Date
05/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12480 01 PR MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2306 Park St
City
Lake Worth
State
Florida
Zip
33460-6136
Phone Number
561-641-6067
Fax Number
person
Provider Business Mailing Address Details
Address
2306 Park St
City
Lake Worth
State
Florida
Zip
33460-6136
Phone Number
561-641-6067
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
12480 ()
Definition
Definition to come...
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