EDUILMER CORONADO NPI 1902470131

NPI Information

NPI: 1902470131
Provider Name: EDUILMER CORONADO
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
17000 PORTER RD STE 205
WINTER GARDEN, FL
ZIP 34787
Phone: (321) 843-5851
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Eduilmer Coronado is an adult health nurse practitioner in Winter Garden, FL with 5 years of experience. Eduilmer Coronado NPI is 1902470131. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17000 PORTER RD STE 205
WINTER GARDEN, FL
ZIP 34787-915
Phone: (321) 843-5851
Fax: (321) 842-1611

The NPI 1902470131 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/12/2021 and was last updated on 1/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	11013109	FLORIDA	No
2	363LA2200X	Nurse Practitioner	Adult Health	APRN11013109	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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