Dr. Andre Erich Correa
General Practice Physician
2306 Park St
Lake Worth
, Florida 33460-6136
Dr. Andre Erich Correa
General Practice Physician
2306 Park St
Lake Worth
, Florida 33460-6136
(561) 641-6067
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Andre Erich Correa
- 2306 Park St
- Lake Worth, FL
- Zip : 33460-6136
- Phone : (561) 641-6067
Second Address
- Dr. Andre Erich Correa
- 2306 Park St
- Lake Worth, FL
- Zip : 33460-6136
- Phone : (561) 641-6067
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 12480 | PR |
National Provider Identifier
| NPI | 1033166673 |
|---|---|
| Provider Name | Dr. Andre Erich Correa |
| First Address | Lake Worth, FL 33460-6136 |
| Second Address | Lake Worth, FL 33460-6136 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/05/2006 |
| Last Update Date | 16/06/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 12480 | MEDICAL LICENSE (01) | PR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.