Organization
CORNEILLE MEDICAL TRAINING & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KETURAH JAROMYRE CORNEILLE RN (OWNER)
(407) 922-3570
Entity
Organization
Contact information
Practice address
6100 LAKE ELLENOR DR STE 300, ORLANDO, FL 32809-4638
(407) 358-6640
Mailing address
6100 LAKE ELLENOR DR STE 300, ORLANDO, FL 32809-4638
(407) 358-6640
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
09/16/2021
Last updated
02/24/2022
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