Organization · Type 2 NPI

Boris E Coronado MD PA

Specialist · Edgewood, FL

NPI number 1487776605 Active

Practice location

5579 S Orange Ave
Edgewood, FL 32809-3493

Call (407) 290-0935 Map

Fax (407) 290-0935

Mailing address

1657 Cherry Ridge Dr
Heathrow, FL 32746-1943

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X72110 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

12 other providers at this address

About NPI 1487776605

Boris E Coronado MD PA's National Provider Identifier is 1487776605, issued on Apr 6, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Edgewood, FL. The record was last updated on Jan 22, 2008.