Joseph P Corallo Jr. (NPI# 1073766804, PAC ID# 5294868477) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).
| Nation Provider ID (NPI) | 1073766804 |
| PAC ID by PECOS | 5294868477 |
| Professional Enrollment ID | I20100809001059 |
| Full Name | Joseph P Corallo Jr. |
| Organization Legal Name | SOUTH FLORIDA SURGICAL SPECIALISTS LLC |
| Address |
2801 N State Rd Suite 7 Margate FL 33063-5727 |
| Phone Number | 9549740400 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| Group Practice PAC ID | 5799881660 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100228 | WESTSIDE REGIONAL MEDICAL CENTER |
| 100276 | BROWARD HEALTH CORAL SPRINGS |
| 100224 | UNIVERSITY HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 | 9543443000 | SOUTH FLORIDA SURGICAL SPECIALISTS LLC |
| 2801 N State Rd, Suite 7, Margate, FL 33063-5727 | 9549740400 | SOUTH FLORIDA SURGICAL SPECIALISTS LLC |
| 7201 N University Dr, Tamarac, FL 33321-2913 | 9543419771 | SOUTH FLORIDA SURGICAL SPECIALISTS LLC |
| Organization Legal Name | SOUTH FLORIDA SURGICAL SPECIALISTS LLC |
| Physicians | 58 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natasha Lee Tate- Kennedy | Nurse Practitioner | South Florida Surgical Specialists LLC | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 |
| Wilson Dumornay | Otolaryngology | South Florida Surgical Specialists LLC | 4101 S Hospital Dr, Suite 14, Plantation, FL 33317-2830 |
| Alejandro T Soler | General Surgery | South Florida Surgical Specialists LLC | 3140 Nw Medical Ctr Ln, Suite 120, Lake City, FL 32055-4735 |
| Bernardo M Johr | Vascular Surgery | South Florida Surgical Specialists LLC | 601 N Flamingo Rd, Suite 319, Pembroke Pines, FL 33028-1011 |
| David Porudominsky | General Surgery | South Florida Surgical Specialists LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Brian Schmidt | General Surgery | South Florida Surgical Specialists LLC | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 |
| Ronald L Stricoff | General Surgery | South Florida Surgical Specialists LLC | 201 E Sample Rd, Pompano Beach, FL 33064-3502 |
| Aeyal Oren | General Surgery | South Florida Surgical Specialists LLC | 201 Nw 82nd Ave, Suite 301, Plantation, FL 33324-1839 |
| Bernard J Zaragoza | General Surgery | South Florida Surgical Specialists LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| David Schwartzwald | Urology | South Florida Surgical Specialists LLC | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 |
| Street Address |
2801 N STATE RD SUITE 7 |
| City | MARGATE |
| State | FL |
| Zip | 33063-5727 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacklyn Reyes Pancrudo | Internal Medicine | Intensive Care Consortium Inc | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Kamran Ajami | Pathology | Integrated Regional Laboratories Pathology Services, LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| David Porudominsky | General Surgery | South Florida Surgical Specialists LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Roi M Bittane | Diagnostic Radiology | Radiology Physician Solutions of Florida LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Alejandro E Rodriguez-hernandez | Anesthesiology | Sheridan Healthcorp Inc | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Anju Mani | Family Medicine | Tradewinds Park Inpatient Services, LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Matthew G Buckler | Diagnostic Radiology | Radiology Physician Solutions of Florida LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Jasmine Pierre | Emergency Medicine | Coconut Creek Emergency Physicians, LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Hernan C Del Arca | Diagnostic Radiology | Radiology Physician Solutions of Florida LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Christina M Fallacaro | Certified Nurse Midwife (cnm) | Institute for Women's Health and Body LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donghua Xie | Urology | 5605 Nw 29th St, Margate, FL 33063-1531 | |
| Norma I Barbosa Rivera | Internal Medicine | Continucare Medical Management Inc | 5643 Nw 29th St, Margate, FL 33063-1531 |
| Lee J Phillips | Diagnostic Radiology | Cardio Nuclear Diagnostics | 5667 Coral Gate Blvd, Margate, FL 33063-1531 |
| Carlos A Corrales | Internal Medicine | 5661 Nw29th St, Margate, FL 33063-1531 | |
| David S Robinson | General Surgery | Advanced General Surgery Pa | 5651 Nw29th St, Margate, FL 33063-1531 |
| Marcia C Sasso | Chiropractic | 5663 Nw 29th St, Margate, FL 33063-1531 | |
| Sandra Castro-urganus | Internal Medicine | Continucare Medical Management Inc | 5643 Nw 29th St, Margate, FL 33063-1531 |
| Indrek Miidla | General Surgery | Advanced General Surgery Pa | 5651 Nw29th St, Margate, FL 33063-1531 |
| Ross J Schwarz | Internal Medicine | Rma Medical Centers of Florida LLC | 1316 N State Rd, Suite 7, Margate, FL 33063-2843 |
| Barbara Martin | Internal Medicine | Rma Medical Centers of Florida LLC | 1316 N State Rd, Suite 7, Margate, FL 33063-2843 |
| Find all physicians in zip 33063 | |||
| City | MARGATE |
| Zip Code | 33063 |
| Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| City + Specialty | MARGATE + COLORECTAL SURGERY (PROCTOLOGY) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.