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CORRADO LLC NPI 1245518976


NPI Information

NPI: 1245518976
Provider Name: CORRADO LLC

Doing Business As: OSPREY BEHAVIORAL HEALTH

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
1698 B WEST HIBISCUS BLVD
SUITE B
MELBOURNE, FL
ZIP 32901
Phone: (321) 917-2042
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CORRADO LLC is a non pharmacy dispensing site in Melbourne, FL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) CORRADO LLC NPI is 1245518976. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Osprey Behavioral Health.

The provider's business location address is:

1698 B WEST HIBISCUS BLVD
SUITE B
MELBOURNE, FL
ZIP 32901-639
Phone: (321) 917-2042
Fax: (334) 560-1469

The provider's authorized official is Cecilia Marie Corrado .
The authorized official title is Mgr and has the following contact phone number (321) 615-5560.

The enumeration date for this NPI number is 7/29/2011 and was last updated on 3/11/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LC0200XNurse PractitionerCritical Care MedicineNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
3363LP2300XNurse PractitionerPrimary CareNo
4332900000XNon-Pharmacy Dispensing SiteYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1307023900MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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