MEDICARE: FRANCISCO ROBERT CORONADO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	APRN11023288	FL
2	363LF0000X	Family Nurse Practitioner	APRN11023288	FL

General Provider Information

NPI Number	:	1184337818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCISCO ROBERT CORONADO

Provider Business Mailing Address
First Line	:	PO BOX 650235
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33265-0235
Country	:	US
Telephone Number	:	786-484-6154
Fax Number	:

Provider Business Practice Location Address
First Line	:	3855 NE 168TH ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33160-3523
Country	:	US
Telephone Number	:	305-423-9168
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2022
Last Update Date	:	05/14/2023

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Directions to “ FRANCISCO ROBERT CORONADO ” Practice Location

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