Organization
BORIS E CORONADO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BORIS EFRAIN CORONADO MD (PRESIDENT)
(407) 290-0935
Entity
Organization
Contact information
Practice address
5579 S ORANGE AVE, EDGEWOOD, FL 32809-3493
(407) 290-0935
(407) 290-0935
Mailing address
1657 CHERRY RIDGE DR, HEATHROW, FL 32746-1943
(407) 290-0935
(407) 290-0935
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
72110
FL
Other
Enumeration date
04/06/2007
Last updated
01/22/2008
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