Correa Primary Care INC
Family Medicine in Hollywood, FL. Organization (NPI-2).
NPI number1063004166
StatusActive
Last updated in NPPESFeb 9, 2021
Details
- NPI
- 1063004166
- Entity type
- Organization (NPI-2)
- Legal business name
- Correa Primary Care INC
- Organization subpart
- No
- Enumeration date
- Feb 9, 2021
- Certification date
- Feb 9, 2021
- Last updated
- Feb 9, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
5118 McKinley StHollywood, FL 33021-4757
Phone 832-628-1886
Mailing address
5118 McKinley StHollywood, FL 33021-4757
Phone 832-628-1886
Authorized official
Eloisa M Correa
Physician
8326281886
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