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General NPI Number Information
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NPI Number | 1063891281
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Entity Type | Individual
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Provider Name | FLAVIO CORREA
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Gender | Male
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Dates
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Enumeration Date | 05/20/2015
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 3800 W FLAGLER ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-1604
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Country | US
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Telephone | 305-774-3334
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Fax |
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Provider Business Mailing Address
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Address Line | 275 NW 13TH PL
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City | FLORIDA CITY
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State | FL
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Zip | 33034-3444
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Country | US
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Telephone | 786-502-6585
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11041845
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License Number State | FL
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