Healthcare Provider Details

I. General information

NPI: 1710165352
Provider Name (Legal Business Name): BARBARA CORONEL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2008
Last Update Date: 11/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3440 HOLLYWOOD BLVD SUITE 460
HOLLYWOOD FL
33021-6927
US

IV. Provider business mailing address

3440 HOLLYWOOD BLVD SUITE 460
HOLLYWOOD FL
33021-6927
US

V. Phone/Fax

Practice location:
  • Phone: 954-923-7440
  • Fax: 954-923-1299
Mailing address:
  • Phone: 954-923-7440
  • Fax: 954-923-1299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License NumberARNP2761022
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP2761022
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: