Individual
MRS. ZAIDA LIZ CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
139 S PEBBLE BEACH BLVD, SUITE 203, SUN CITY CENTER, FL 33573-5799
(813) 633-5768
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
26818
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114090400
—
FL
01
—
Y911W
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/07/2011
Last updated
03/26/2025
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