Individual
DR. DAVID D. CORONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D., LMHC
Contact information
Practice address
722 TRADE WAY, SANFORD, FL 32771-8657
(833) 769-3524
(407) 915-4387
Mailing address
1414 NW 107TH AVE, SWEETWATER, FL 33172-2732
(786) 762-2952
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH16244
FL
103T00000X
Psychologist
Primary
PY12212
FL
103TC0700X
Clinical Psychologist
PY12212
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16244
—
FL
Enumeration date
02/21/2019
Last updated
06/04/2024
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