Individual
TODD MICHAEL CORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
2450 TAMIAMI TRL STE A, PORT CHARLOTTE, FL 33952-3922
(941) 624-2704
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9117438
FL
363AM0700X
Medical Physician Assistant
5601003596
MI
363AM0700X
Medical Physician Assistant
Primary
PA9117438
FL
Other
Enumeration date
10/11/2006
Last updated
01/06/2025
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