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Individual

DR. DIANA M CORDERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3720 BEACH BLVD, JACKSONVILLE, FL 32207-3814
(904) 475-2039
(904) 330-0668
Mailing address
3720 BEACH BLVD, JACKSONVILLE, FL 32207-3814
(904) 475-2039
(904) 330-0668

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0057227
FL
207RC0000X
Cardiovascular Disease Physician
ME0057227
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004693201
FL
01
P00906112
MEDICARE RAILROAD
FL
Enumeration date
06/21/2006
Last updated
05/19/2016
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