Individual
MS. KELLY KAY CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2121 N BAYSHORE DR, SUITE 1106, MIAMI, FL 33137-5123
(786) 290-7979
Mailing address
2121 N BAYSHORE DR, SUITE 1106, MIAMI, FL 33137-5123
(786) 290-7979
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA 42178
FL
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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