DR. RAUL A CORREA (NPI# 1417955840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417955840 |
| Entity Type | Individual |
| Full Name | DR. RAUL A CORREA |
| Credential | M.D. |
| Practice Address |
2505 Manatee Ave W Bradenton FL 34205-4935 |
| Mailing Address |
4004 Bayside Dr Bradenton FL 34210-4113 |
| Practice Telephone | 9417481171 |
| Practice Fax Number | 9417484531 |
| Mailing Telephone | 9417553300 |
| Mailing Fax Number | 9417513809 |
| Enumeration Date | 2005-07-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | ME0026868 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003332552 | Raul Correa | Prevention Professional | Calle 700 Manuel Pavia Street, Suite 301, San Juan, PR 00909 | 2017-08-16 |
| 1013259266 | Raul Noel Correa | Pharmacist | 2501 N Orange Ave, Orlando, FL 32804-4603 | 2013-03-25 |
| Street Address |
2505 MANATEE AVE W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34205-4935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811475296 | Magdalena Neves Counseling, LLC | Clinic/Center | 2505 Manatee Ave W, Bradenton, FL 34205-4935 | 2018-07-30 |
| 1538559885 | Dr. Raul Correa | General Practice | 2505 Manatee Ave W, Bradenton, FL 34205-4935 | 2015-01-26 |
| 1013236801 | Anthony Cuva Md,pa | Skilled Nursing Facility | 2505 Manatee Ave W, Bradenton, FL 34205-4935 | 2010-05-19 |
| 1346254273 | Anthony Cuva | Family Medicine | 2505 Manatee Ave W, Bradenton, FL 34205-4935 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649811506 | Fenix Drug Store, LLC | Pharmacy | 527 13th St W, Bradenton, FL 34205 | 2019-10-02 |
| 1326534702 | Elaine Benitez Vazquez | Developmental Therapist | 3800 Lake Bayshore Dr Apt 513, Bradenton, FL 34205 | 2018-07-09 |
| 1437519402 | Kenneth G Bannister | Massage Therapist | 302 26th Avenue East, Apt 101, Bradenton, FL 34205 | 2016-03-03 |
| 1780028415 | Nic 4 Summerfield Leasing LLC | Assisted Living Facility | 3409 26th St. W., Bradenton, FL 34205 | 2013-04-24 |
| 1275803017 | Jennifer Geanne Washington | Massage Therapist | 1901 9th Ave W, Bradenton, FL 34205 | 2012-01-11 |
| 1629352745 | Susan K Stone | Acupuncturist | 2620 Manatee Avenue W., Suite C, Bradenton, FL 34205 | 2011-10-07 |
| 1588957609 | Palma Sola Therapies LLC | Physical Medicine & Rehabilitation | 515 36th St., Suite D, Bradenton, FL 34205 | 2011-05-23 |
| 1023254836 | Halle Kranz | Counselor | 239 301 Blvd W, Bradenton, FL 34205 | 2008-12-29 |
| 1235389537 | Aisha Mohsin Malik | Psychiatry & Neurology | 200 3rd Avenue West, Suite 110, Bradenton, FL 34205 | 2008-09-23 |
| 1689895146 | Brenda Marie Wilson | Counselor | Manatee Service Center, 600 301 Blvd - Suite 144, Bradenton, FL 34205 | 2007-05-01 |
| Find all providers in zip 34205 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649810540 | Charles L Carr Jr Do Pa | Neuromusculoskeletal Medicine, Sports Medicine | 4335 Cheval Blvd, Lutz, FL 33558-5328 | 2020-01-09 |
| 1871057836 | Nextstep Orlando | Neuromusculoskeletal Medicine, Sports Medicine | 330 Harbour Isle Way Unit 1090, Longwood, FL 32750-3979 | 2019-01-24 |
| 1124512371 | Jennifer Lynn Wiersma | Neuromusculoskeletal Medicine, Sports Medicine | 346 Se 5th Ave, Delray Beach, FL 33483-5209 | 2018-06-20 |
| 1548602840 | Shaun Notman | Neuromusculoskeletal Medicine, Sports Medicine | 1700 South Tamiami Trl, Sarasota, FL 34277 | 2013-07-27 |
| 1487920237 | North Florida Treatment Centers, Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 601 N Bumby Ave Ste C, Orlando, FL 32803-4904 | 2012-03-27 |
| 1093049579 | Hem M Bhatt | Neuromusculoskeletal Medicine, Sports Medicine | 2298 Sw Golden Bear Way, Palm City, FL 34990-8803 | 2009-09-30 |
| 1750555777 | Robert B Dehgan Md Pa | Neuromusculoskeletal Medicine, Sports Medicine | 460 Osceola Ave, Jacksonville, FL 32250-4078 | 2008-04-22 |
| 1730383993 | Alfred B Chapman | Neuromusculoskeletal Medicine, Sports Medicine | 1221 Rogers St, Suite B, Clearwater, FL 33756-5900 | 2007-06-12 |
| 1780887760 | Tamarac Physicians Group Inc | Neuromusculoskeletal Medicine, Sports Medicine | 8287 Nw 88th Ave, Tamarac, FL 33321-1541 | 2007-06-07 |
| 1366563066 | Stephen R Wood Do Pa | Neuromusculoskeletal Medicine, Sports Medicine | 13211 Walsingham Rd, Largo, FL 33774-3518 | 2007-04-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.