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NPI Code Detail

MEDICARE: DR. WILLIAM JEFFREY CORIN M.D.F.A.C.C.

MEDICARE:  DR. WILLIAM JEFFREY CORIN  M.D.F.A.C.C.
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
1207RC0000XCardiovascular Disease PhysicianME0062167FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639175060
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM JEFFREY CORIN M.D.F.A.C.C.
Provider Business Mailing Address
First Line : 1225 JACARANDA BLVD
Second Line :
City : VENICE
State : FL
Zip : 34292-4521
Country : US
Telephone Number : 941-492-5666
Fax Number : 941-497-2331
Provider Business Practice Location Address
First Line : 1225 JACARANDA BLVD
Second Line :
City : VENICE
State : FL
Zip : 34292-4521
Country : US
Telephone Number : 941-492-5666
Fax Number : 941-497-2331
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 07/22/2010

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Directions to “ DR. WILLIAM JEFFREY CORIN M.D.F.A.C.C.” Practice Location

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