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Contact Information

KENT R CORRAL, MD
4700 N HABANA AVE
SUITE 103
TAMPA, FL33614-7160
 Phone: 813-348-0224
 Fax: 813-872-6792
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for KENT R CORRAL · (Male)

NPI Number 1841263209
Status Active
Credentials MD
Entity Individual
Enumeration date 02/08/2006
Last updated 01/15/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME0035361
  • FL Other 219133 AVMED
  • FL Other 30392 BCBS
Hospital affiliation(s)
  • ST JOSEPH'S HOSPITAL - (Acute Care)
    3001 W MARTIN LUTHER KING JR BLVD
    TAMPA, FL 33677
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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