Individual
MARIANA RIBEIRO RODERO CARDOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0001
(352) 265-0291
Mailing address
PO BOX 100374, GAINESVILLE, FL 32610-0374
(352) 265-0291
(352) 265-0279
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
MFC1891
FL
2085R0202X
Diagnostic Radiology Physician
Primary
MFC1891
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118850700
—
FL
Enumeration date
07/06/2023
Last updated
09/18/2023
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