Individual
DR. BORIS E CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 N MAITLAND AVE STE 101, MAITLAND, FL 32751-4499
(407) 660-7150
(407) 660-7108
Mailing address
800 N MAITLAND AVE STE 101, MAITLAND, FL 32751-4499
(407) 660-7150
(407) 660-7108
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME0072110
FL
207R00000X
Internal Medicine Physician
Primary
ME72110
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256399100
—
FL
Enumeration date
05/18/2006
Last updated
05/19/2020
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