Provider Demographics
NPI:1396154894
Name:CORZO-SANCHEZ, ELISA
Entity type:Individual
Prefix:
First Name:ELISA
Middle Name:
Last Name:CORZO-SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8700 W FLAGLER ST STE 401
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2549
Mailing Address - Country:US
Mailing Address - Phone:786-759-1750
Mailing Address - Fax:
Practice Address - Street 1:8700 W FLAGLER ST STE 401
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2549
Practice Address - Country:US
Practice Address - Phone:786-759-1750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-08
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9347352363LF0000X
FLARRN9347352363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily