MS. CORAL ETSHMAN


Address: 12301 Lake Underhill Rd, Orlando, FL 32828-4508
Phone: 4073670734

MS. CORAL ETSHMAN (NPI# 1629525480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629525480
Entity Type Individual
Full Name MS. CORAL ETSHMAN
Credential ARNP
Practice Address 12301 Lake Underhill Rd
Orlando
FL 32828-4508
Practice Telephone 4073670734
Mailing Telephone 4073670734
Enumeration Date 2016-09-08
Last Update Date 2016-09-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
9280984 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 12301 LAKE UNDERHILL RD
City ORLANDO
State FL
Zip Code 32828-4508

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1356825061 Frances L Febo Mendez Specialist/Technologist 12301 Lake Underhill Rd, Ste 260, Orlando, FL 32828-4508 2018-09-18
1023528817 Lauren Howard Sobel Physical Therapist 12301 Lake Underhill Rd, Orlando, FL 32828-4508 2017-10-05
1679945679 Therapy Essentials Inc Early Intervention Provider Agency 12301 Lake Underhill Rd, Ste 260, Orlando, FL 32828-4508 2015-10-29
1427429109 Michelle Chacon Speech-Language Pathologist 12301 Lake Underhill Rd, Ste 260, Orlando, FL 32828-4508 2015-10-07
1285026310 Respiratory Kinect, Inc Home Health 12301 Lake Underhill Rd, Suite 265, Orlando, FL 32828-4508 2015-02-26
1093110660 22 Health Group, LLC Chiropractor 12301 Lake Underhill Rd, Suite 254, Orlando, FL 32828-4508 2014-10-25
1194134916 Interventional Spine Institute of Florida Physical Medicine & Rehabilitation 12301 Lake Underhill Rd, Suite 121, Orlando, FL 32828-4508 2014-08-06
1619210267 Tracie A Panter Nurse Practitioner 12301 Lake Underhill Rd, Suite 106, Orlando, FL 32828-4508 2013-04-02
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NPI Name Taxonomy Address Enumeration
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1568819886 Nicole Kircher Behavioral Analyst 757 Sterling Springs Rd, Orlando, FL 32828 2016-05-17
1477908556 Sandra Maria Garcia Speech-Language Pathologist 4961 Atwood Dr, Orlando, FL 32828 2016-04-26
1821473380 Sandra Ware Physical Therapy Assistant 498 Palm Springs Dr, Ste 345, Orlando, FL 32828 2015-07-27
1649674367 Lisa M Keough Occupational Therapist 447 Bella Vida Blvd., Creative Speech Solutions & Therapy, Orlando, FL 32828 2014-10-09
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City ORLANDO
Zip Code 32828

Improve Information

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Dataset Information

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.

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