Organization
DMC WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA M CORDERO M.D. (OWNER)
(904) 479-3432
Entity
Organization
Contact information
Practice address
3604 UNIVERSITY BLVD S, SUITE 203, JACKSONVILLE, FL 32216-4241
(904) 479-3432
Mailing address
3604 UNIVERSITY BLVD S, SUITE 203, JACKSONVILLE, FL 32216-4241
(904) 345-1439
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME57227
FL
Other
Enumeration date
06/19/2015
Last updated
12/01/2015
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