MEDICARE: MRS. CLAUDIA CORREA R.D, L.N

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	ND4860	FL

General Provider Information

NPI Number	:	1396185450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CLAUDIA CORREA R.D, L.N

Provider Business Mailing Address
First Line	:	353 W 47TH ST
Second Line	:	# 8F
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3153
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	353 W 47TH ST
Second Line	:	# 8F
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3153
Country	:	US
Telephone Number	:	305-528-5519
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2013
Last Update Date	:	07/02/2013

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