Individual
MARIAM CORDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 W COLONIAL DR, ORLANDO, FL 32804-7120
(321) 430-5866
Mailing address
5020 REVOLUTIONARY WAY, SAINT CLOUD, FL 34769-1864
(954) 348-8179
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMT4308
FL
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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