Provider Demographics
NPI:1902521016
Name:CORADIN HEALTH LLC
Entity Type:Organization
Organization Name:CORADIN HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ARMANDO
Authorized Official - Last Name:CORADIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-501-5274
Mailing Address - Street 1:9955 WESTVIEW DR APT 222
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-2526
Mailing Address - Country:US
Mailing Address - Phone:954-501-5274
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:954-800-8778
Practice Address - Fax:954-836-6738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty