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NPI Code Detail

MEDICARE: JOSSUE CORRALES APRN, MSN, FNP-BC

MEDICARE: JOSSUE CORRALES APRN, MSN, FNP-BC
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
1363LF0000XFamily Nurse Practitioner9310329FL

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 : 1932456423
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSSUE CORRALES APRN, MSN, FNP-BC
Provider Business Mailing Address
First Line : 9725 NW 117TH AVE
Second Line : SUITE 200
City : MIAMI
State : FL
Zip : 33178
Country : US
Telephone Number : 855-975-5119
Fax Number : 305-413-4276
Provider Business Practice Location Address
First Line : 7306 SW 117TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33183-3804
Country : US
Telephone Number : 305-220-0220
Fax Number : 877-370-4783
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2012
Last Update Date : 05/27/2025

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1053304121 — MRS. IDANIA LUCIA PEREZ-BURGOS ARNP
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Directions to “ JOSSUE CORRALES APRN, MSN, FNP-BC” Practice Location

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