Organization
MARIA CORDOVA & ASSOC. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA CORDOVA OD (OWNER)
(954) 432-1532
Entity
Organization
Contact information
Practice address
4577 WESTON RD, WESTON, FL 33331-3141
(954) 432-1532
Mailing address
4577 WESTON RD, WESTON, FL 33331-3141
(954) 432-1532
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
OPC2957
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC2957
OPTOMETRIC LICENSE
FL
Enumeration date
02/01/2007
Last updated
08/19/2010
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