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MR. EPHRAIN ENRIQUE CORONADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1150 S. SEMORAN BLVD, SUITE D, ORLANDO, FL 32807-1424
(407) 482-5253
(407) 482-5254
Mailing address
1150 S. SEMORAN BLVD, SUITE C, ORLANDO, FL 32807-1424
(407) 482-5253
(407) 482-5254

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME 65229
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME65229
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005544400
FL
Enumeration date
09/27/2005
Last updated
07/16/2014
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