Individual
JOSE MANUEL CORDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 GRAN BAHAMA BLVD, APT 10202, DAVENPORT, FL 33897-8322
(407) 955-7027
Mailing address
400 GRAN BAHAMA BLVD, APT 10202, DAVENPORT, FL 33897-8322
(407) 955-7027
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
C636433764610
FL
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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