Philip J. Correia, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN20255 Issued in FL

Practice address

4615 Philips Hwy Ste 3
Jacksonville, FL 32207-9541

Phone

(904) 508-0710

NPI assigned

Jun 17, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1871538751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342321926",
            "telephone_number": "941-300-4440",
            "fax_number": "941-404-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 PHILIPS HWY STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079541",
            "telephone_number": "904-508-0710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "427 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331396617",
            "country_code": "US",
            "telephone_number": "305-514-0813",
            "fax_number": "855-235-4811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1231 N Tuttle Ave",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342373116",
            "country_code": "US",
            "telephone_number": "941-366-0134",
            "fax_number": "941-404-1760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18360 NW 47th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330552934",
            "country_code": "US",
            "telephone_number": "786-800-5631",
            "fax_number": "888-285-1741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORREIA",
        "first_name": "PHILIP",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2022-12-21",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lourdes Cecilia Corrales, MA, CCC-SLP
• Raphael Augusto Correa Bastianon Santiago, M.D.
• Fernanda Correa Chaves, MD
• Sabrina Correa Da Costa, MD
• Ana Maria Corregidor, MD
• Esther Maria Corrigan, M.D., M.ED.
• Daniel Corristan
• Cara Rowland Corry, PHARMD
• Christine Summers Corso, PA-C
• Michael Francis Wayne Corso, DO

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.