Provider Demographics
NPI:1871851246
Name:CORSO, NANCY A (DC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:A
Last Name:CORSO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1167 HILLSBORO MILE
Mailing Address - Street 2:616F
Mailing Address - City:HILLSBORO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-1622
Mailing Address - Country:US
Mailing Address - Phone:561-789-3553
Mailing Address - Fax:
Practice Address - Street 1:6100 GLADES RD
Practice Address - Street 2:SUITE 310
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-4325
Practice Address - Country:US
Practice Address - Phone:561-789-3553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-24
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5240111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor