Individual
EDGAR IVON CARDENAS GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
86 W UNDERWOOD ST, MP 80, ORLANDO, FL 32806-2008
(888) 912-3648
(321) 841-4085
Mailing address
86 W UNDERWOOD ST, MP 80, ORLANDO, FL 32806-2008
(888) 912-3648
(321) 841-4085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME113603
FL
207R00000X
Internal Medicine Physician
N7236
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005961600
—
FL
01
—
ME113603
MEDICAL LICENSE
FL
Enumeration date
08/28/2007
Last updated
11/14/2016
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