| Organization Name: | DR. RAUL CORREA |
| NPI Number: | 1538559885 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAUL AURELIO CORREA (PHYSICIAN) |
| Mailing Address: | 2505 Manatee Ave W Bradenton |
| State: | FL US |
| Postal Code: | 342054935 |
| Phone Number: | 9417481171 |
| Fax Number: | 9417484531 |
| NPI Enumeration Date: | 01/26/2015 |
| NPI Last Update Date: | 01/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME0026868 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |