Individual
EDUILMER CORONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17000 PORTER RD STE 205, WINTER GARDEN, FL 34787-8915
(321) 843-5851
(321) 842-1611
Mailing address
17000 PORTER RD STE 205, WINTER GARDEN, FL 34787-8915
(321) 843-5851
(321) 842-1611
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11013109
FL
363LF0000X
Family Nurse Practitioner
11013109
FL
Other
Enumeration date
05/12/2021
Last updated
01/08/2024
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