Correa, Rosario

Correa, Rosario is an individual health care provider with primary practice located at 466 Sw Port St Lucie Blvd Ste 116 , Port St Lucie FL 34953-2091. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Correa, Rosario can be contacted via phone (772) 237-4518.

Contact Information

Primary practice address
466 Sw Port St Lucie Blvd Ste 116 Port St Lucie FL 34953-2091
Phone: (772) 237-4518
Fax: (772) 461-9972
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN9200331 Florida

Profile Details

NPI number 1215906557
LBN Legal business name Correa, Rosario
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Nov 30th, 2022 - about 4 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 1215906557 NPPES
Florida MEDICAID 307735700

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