Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angelica Manzolillo Correa, FNP-C

Individual provider Primary Care Nurse Practitioner · NPI 1952074189

Angelica Manzolillo Correa, FNP-C is a Nurse Practitioner in Port St Lucie, Florida. Qualified in 2021, 5 years ago. Practices with Martin Memorial Medical Center Inc, a 516-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and New York.

Years since qualifying
5
Licensed in
FL, NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1651 SE Tiffany Ave
Port St Lucie, FL 34952-7564
Phone: (772) 398-1800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 11031122 (FL)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence F347464-01 (NY)

Record details

NPI number1952074189
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 25, 2021
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Martin Memorial Medical Center Inc — 516 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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