Provider Demographics
NPI:1386091767
Name:CORADIN, DAVID ARMANDO (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ARMANDO
Last Name:CORADIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6151 MIRAMAR PKWY STE 307
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-3985
Mailing Address - Country:US
Mailing Address - Phone:954-800-8778
Mailing Address - Fax:954-836-6738
Practice Address - Street 1:6151 MIRAMAR PKWY STE 307
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-3985
Practice Address - Country:US
Practice Address - Phone:954-501-5274
Practice Address - Fax:954-836-6738
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-16
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYTP055207RG0300X
FLME142044207RG0300X
KY57195208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106744100Medicaid