| Organization Name: | CORRADO LLC |
| NPI Number: | 1245518976 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CECILIA MARIE CORRADO (MGR) |
| Mailing Address: | 1345 N Hwy A1a Unit 302 Indialantic |
| State: | FL US |
| Postal Code: | 329032754 |
| Phone Number: | 3216155560 |
| Fax Number: | |
| NPI Enumeration Date: | 07/29/2011 |
| NPI Last Update Date: | 07/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LC0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |