| Doctor Name: | CECILIA MARIE CORRADO |
| NPI Number: | 1285789982 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 9192087 |
| Business Practice Address: | 1381 S Patrick Dr 45 Mdg Patrick Afb, FL - 32925 |
| Business Phone Number: | 3214940419 |
| Business Fax Number: | |
| Mailing Address: | 1345 N Hwy A1a, Unit 302 INDIALANTIC |
| State: | FL |
| Postal Code: | 32903 |
| Phone Number: | 3216760924 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 9192087 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |