Individual
FRANK CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300
Mailing address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CBHCMS0102574
FL
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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