| Doctor Name: | DR. ELIO A CORADIN |
| NPI Number: | 1831436740 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | HOUSE PHYSICIAN |
| License Number: | HSE15480 |
| Business Practice Address: | 6595 Nw 36th St # C128 Virginia Gardens, FL - 331666979 |
| Business Phone Number: | 3057792059 |
| Business Fax Number: | |
| Mailing Address: | 6595 Nw 36th St # C128, VIRGINIA GARDENS |
| State: | FL |
| Postal Code: | 331666979 |
| Phone Number: | 3057792059 |
| Fax Number: | |
| NPI Enumeration Date: | 01/11/2013 |
| NPI Last Update Date: | 01/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | HSE15480 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |