Corrales, Jossue

Corrales, Jossue is an sole proprietor health care provider with primary practice located at 4888 Nw 183Rd St Ste 101 , Miami Gardens FL 33055-2939. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Corrales, Jossue can be contacted via phone (305) 685-5688.

Contact Information

Primary practice address
4888 Nw 183Rd St Ste 101 Miami Gardens FL 33055-2939
Phone: (305) 685-5688
Fax: (305) 623-9459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9310329 Florida

Profile Details

NPI number 1932456423
LBN Legal business name Corrales, Jossue
Credentials ARNP, MSN, NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2012
Last updated Apr 8th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932456423 NPPES
Florida MEDICAID 011847100

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