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General NPI Number Information
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NPI Number | 1528141710
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Entity Type | Organization
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Legal Business Name | HECTOR CORZO MD PA
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 08/13/2014
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Provider Practice Location Address
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Address Line | 7955 66TH ST STE.D
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City | PINELLAS PARK
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State | FL
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Zip | 33781-2161
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Country | US
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Telephone | 727-541-3362
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Fax | 727-544-4015
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Provider Business Mailing Address
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Address Line | 7955 66TH ST STE.D
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City | PINELLAS PARK
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State | FL
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Zip | 33781-2161
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Country | US
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Telephone | 727-541-3362
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Fax | 727-544-4015
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Authorized Official
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Title or Position | OWNER
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Name | DR. HECTOR R CORZO
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Credential | M.D.
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Telephone | 727-541-3362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME27258
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME0035773
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME27258
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | ME0035773
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 830052
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2786242
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 888372
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2835092
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 830052
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License Number State | FL
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Taxonomy #10
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1731582
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License Number State | FL
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Taxonomy #11
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME98956
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License Number State | FL
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