10D0856783 CLIA NUMBER - RAUL A CORREA MD

Laboratory Demographics

CLIA Number: 10D0856783

Facility Name: RAUL A CORREA MD

Facility Address:
2505 MANATEE AVENUE WEST
BRADENTON, FL
ZIP 34205
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Facility Phone Number: 941 748-1171

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1417955840

Taxonomy: 204C00000X - Neuromusculoskeletal Medicine, Sports Medicine
A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/

CLIA Record

Field Name	Field Value
CLIA Number	10D0856783
LAB Type	Physician Office
Facility Name	RAUL A CORREA MD
Street	2505 MANATEE AVENUE WEST
City	BRADENTON
State	FL
ZIP	34205
Phone	941 748-1171
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024