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NPI Code Detail

MEDICARE: MISS VERONICA CORACI PA-C

MEDICARE: MISS VERONICA CORACI PA-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
1363AS0400XSurgical Physician AssistantPA9114070FL
2363A00000XPhysician Assistant1-PENDINGKS

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 : 1376106823
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS VERONICA CORACI PA-C
Provider Business Mailing Address
First Line : 2100 CENTERVILLE RD
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4379
Country : US
Telephone Number : 850-216-0100
Fax Number : 850-216-0138
Provider Business Practice Location Address
First Line : 2100 CENTERVILLE RD
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4379
Country : US
Telephone Number : 850-216-0100
Fax Number : 850-216-0138
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2019
Last Update Date : 02/09/2026

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Directions to “ MISS VERONICA CORACI PA-C” Practice Location

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