DR. ERIC E CORONATO (NPI# 1740304419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740304419 |
| Entity Type | Individual |
| Full Name | DR. ERIC E CORONATO |
| Credential | D.O. |
| Practice Address |
21260 Olean Blvd Suite 202a Port Charlotte FL 33952-6742 |
| Mailing Address |
2234 Colonial Blvd Attn: Payer Contracting & Relations Fort Myers FL 33907-1412 |
| Practice Telephone | 9416251550 |
| Practice Fax Number | 9412550794 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2017-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | OS013729 | PA | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | OS10889 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FREEDOM HEALTH | P307802 | 01 |
| FL | BCBS FL | 148WT | 01 |
| FL | GHI | 1669024 | 01 |
| FL | AVMED | 339734 | 01 |
| FL | FREEDOM HEALTH OPTIMUM | P204013 | 01 |
| FL | 002482900 | 05 | |
| FL | WELLCARE | 1192983 | 01 |
| FL | UNIVERSAL HEALTHCARE | 37549 | 01 |
| FL | CLEAR HEALTH ALLIANCE | P01776636 | 01 |
| FL | RAILROAD MEDICARE | P00868014 | 01 |
| FL | CIGNA | 5838598 | 01 |
| Street Address |
21260 OLEAN BLVD SUITE 202A |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33952-6742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679523351 | Surgery Center of Port Charlotte Ltd | Clinic/Center | 21260 Olean Blvd, Suite 105, Port Charlotte, FL 33952-6705 | 2006-05-11 |
| 1255741880 | Genesiscare Usa of Florida LLC | Urology | 21260 Olean Blvd, Suite 202a, Port Charlotte, FL 33952-6742 | 2014-05-05 |
| 1477758902 | John P Rioux Md Pl | Surgery | 21260 Olean Blvd, Suite 200, Port Charlotte, FL 33952-6705 | 2007-06-15 |
| 1225109556 | Debra S. Moore | Nurse Anesthetist, Certified Registered | 21260 Olean Blvd, Ste 105, Port Charlotte, FL 33952-6742 | 2006-11-10 |
| 1922194620 | John P Rioux | Surgery | 21260 Olean Blvd, Suite 200, Port Charlotte, FL 33952-6705 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
| 1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
| 1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
| 1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
| 1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
| 1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
| 1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
| 1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| Find all providers in zip 33952 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720469596 | Crystal Smedley | Urology | 2400 Harbor Blvd Ste 21, Port Charlotte, FL 33952-5038 | 2015-06-17 |
| 1164669404 | Jens C. Carlsen | Urology | 2525 Harbor Blvd Ste 301, Port Charlotte, FL 33952-5342 | 2009-01-08 |
| 1659569994 | Ekiong Chua Tan | Urology | 13435 S Mccall Rd Unit 16, Ste 397, Port Charlotte, FL 33981-6421 | 2007-10-11 |
| 1437697646 | Jens Christian Carlsen Do Pllc | Urology | 2525 Harbor Blvd, Ste. 301, Port Charlotte, FL 33952-5317 | 2017-02-08 |
| 1255741880 | Genesiscare Usa of Florida LLC | Urology | 21260 Olean Blvd, Suite 202a, Port Charlotte, FL 33952-6742 | 2014-05-05 |
| 1518278555 | 21st Century Oncology LLC | Urology | 3390 Tamiami Trl, Suite 201, Port Charlotte, FL 33952-8157 | 2010-06-24 |
| 1043465099 | Genesiscare Usa of Florida LLC | Urology | 3410 Tamiami Trl, Suite 4, Port Charlotte, FL 33952-8112 | 2008-11-18 |
| 1023193018 | Marc A. Melser, Md, Pl | Urology | 3410 Tamiami Trl, Suite 4, Port Charlotte, FL 33952-8112 | 2006-10-26 |
| 1063480085 | Marc A Melser | Urology | 3410 Tamiami Trl, Suite 4, Port Charlotte, FL 33952-8127 | 2006-03-08 |
| 1205818804 | Gary Lee Berger | Urology | 2400 Harbor Blvd, Suite 21, Port Charlotte, FL 33952-5052 | 2005-11-18 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
Please comment or provide details below to improve the information on DR. ERIC E CORONATO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.