Provider Demographics
NPI:1538597786
Name:CORONEL, MARIA CHERRY (FNP-BC)
Entity type:Individual
Prefix:
First Name:MARIA CHERRY
Middle Name:
Last Name:CORONEL
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:CHERRY
Other - Middle Name:
Other - Last Name:CORONEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:2600 WESTHALL LN
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7102
Mailing Address - Country:US
Mailing Address - Phone:407-200-9258
Mailing Address - Fax:407-200-1353
Practice Address - Street 1:2600 WESTHALL LN
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-7102
Practice Address - Country:US
Practice Address - Phone:407-200-9258
Practice Address - Fax:407-200-1353
Is Sole Proprietor?:No
Enumeration Date:2013-10-25
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3273382363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily