Coronado, Boris E

Coronado, Boris E is an individual health care provider with primary practice located at 800 N Maitland Ave Ste 101 , Maitland FL 32751-4499. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Coronado, Boris E can be contacted via phone (407) 660-7150.

Contact Information

Primary practice address
800 N Maitland Ave Ste 101 Maitland FL 32751-4499
Fax: (407) 660-7108
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0072110 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME72110 Florida

Profile Details

NPI number 1285687632
LBN Legal business name Coronado, Boris E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated May 19th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285687632 NPPES
Florida MEDICAID 256399100

Popular Providers