Boris E Coronado is a Specialist in Maitland, Florida. Boris E Coronado practices all healthcare services and medical treatments related to Specialist. The NPI Number for Boris E Coronado is 1285687632. The last update date is 2020-05-19.
Boris E Coronado's current location address is 800 N Maitland Ave Ste 101, Maitland, Florida. You can contact this provider via phone number 4076607150 and fax number 4076607108. The mailing address for Boris E Coronado is 800 N Maitland Ave Ste 101, Maitland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Boris E Coronado |
|---|---|
| Address | 800 N Maitland Ave Ste 101, Maitland, Florida |
| Phone Number | 4076607150 |
| Fax Number | 4076607108 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1285687632 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2020-05-19 |
Provider Mailing Address Detail
| Address | 800 N Maitland Ave Ste 101 |
|---|---|
| City | Maitland |
| State | Florida (FL) |
| Post Code | 327514499 |
| Phone Number | 4076607150 |
| Fax Number | 4076607108 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME0072110 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 256399100 | FL | -- |
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What is the Boris E Coronado's unique identification number?
The Boris E Coronado has been assigned the NPI (National Provider Identifier) Number 1285687632 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Boris E Coronado located?
The Boris E Coronado is located at 800 N Maitland Ave Ste 101, Maitland, FL 327514499.
What is Boris E Coronado's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Boris E Coronado is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
When was the Boris E Coronado's 1285687632 issued?
The Boris E Coronado's 1285687632 was issued on 2006-05-18.
As of what date were the details pertaining to Boris E Coronado last refreshed?
The information related to the Boris E Coronado, including its address, specialty, and other relevant details, was last updated on 2020-05-19.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH