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Individual
JORGE A CORONEL
Active
Individual
JORGE A CORONEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME82159
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09068
BLUE CROSS BLUE SHIELD
FL
05
—
263768500
—
FL
01
—
279920
AVMED
FL
Enumeration date
09/28/2006
Last updated
07/11/2022
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