BORIS E CORONADO MD PA
NPI 1487776605
Specialist in Edgewood, FL

Active since April 06, 2007
5579 S ORANGE AVE, EDGEWOOD, FL 32809(407) 290-0935(407) 290-0935 Get Directions Write a Review

NPPES record last updated: January 22, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Boris E Coronado Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BORIS E CORONADO MD PA (NPI 1487776605) is a healthcare organization registered as a specialist in Edgewood, Florida and active in the NPI registry since April 2007. The organization lists Boris Efrain Coronado, President, as its authorized official.

NPPES Registry Identity

NPI1487776605
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBORIS E CORONADO MD PA
Location Address5579 S ORANGE AVEEdgewood, FL 32809-3493
Mailing Address1657 Cherry Ridge DrHeathrow, FL 32746-1943 · (407) 290-0935 · Fax (407) 290-0935
Fax(407) 290-0935
Organization SubpartNo
Authorized OfficialBoris Efrain CoronadoPresident · (407) 290-0935
Enumeration DateApril 6, 2007
Last NPPES UpdateJanuary 22, 2008
NPI 1487776605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · 72110
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.

5579 S ORANGE AVE, Edgewood, FL 32809

Other Identifiers 3

Medicare PINK8742FL
Medicare ID-Type Unspecified46418YFL
Medicare UPING18358FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
5579 S ORANGE AVE
ORLANDO, FL 32809
Hospitalist
5579 S ORANGE AVE
ORLANDO, FL 32809
Registered Nurse
5579 S ORANGE AVE
ORLANDO, FL 32809
Long Term Care Hospital
5579 S ORANGE AVE
ORLANDO, FL 32809
Nurse's Aide
5579 S ORANGE AVE
ORLANDO, FL 32809
Internal Medicine (Hematology & Oncology)
5579 S ORANGE AVE
EDGEWOOD, FL 32809
Pharmacist
5579 S ORANGE AVE
ORLANDO, FL 32809
Hospitalist
5579 S ORANGE AVE
EDGEWOOD, FL 32809

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boris E Coronado MD PA's NPI number?

The NPI number for Boris E Coronado MD PA is 1487776605. It was assigned to this organization in the NPPES registry on April 6, 2007.

Where is Boris E Coronado MD PA located?

Boris E Coronado MD PA is located at 5579 S Orange Ave, Edgewood, FL 32809. The listed phone number is (407) 290-0935.

What is Boris E Coronado MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Boris E Coronado MD PA was last updated on January 22, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.