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Individual

JAVIER ALEXANDER CORONADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11200 SW 8TH ST, MIAMI, FL 33199-3009
(305) 348-7747
Mailing address
9135 SW 153RD AVE, MIAMI, FL 33196-2859
(305) 710-6392

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9356900
FL

Other

Enumeration date
12/02/2020
Last updated
12/02/2020
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