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Organization
MARLENE TAGES CORDOVA, DO, PA
Active
Organization
MARLENE TAGES CORDOVA, DO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE CORDOVA (PRESIDENT)
(954) 392-7157
Entity
Organization
Contact information
Practice address
600 N HIATUS RD STE 201, PEMBROKE PINES, FL 33026-5207
(549) 526-6378
Mailing address
PO BOX 260626, PEMBROKE PINES, FL 33026-7626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
09/05/2017
Last updated
07/08/2019
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