Individual
DR. JERGES J CARDONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2810 W WATERS AVE, TAMPA, FL 33614-1853
(813) 935-5501
(813) 933-8784
Mailing address
2810 W WATERS AVE, TAMPA, FL 33614-1853
(813) 935-5501
(813) 933-8784
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0069539
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200439
WELLCARE
FL
05
—
259800100
—
FL
01
—
263649
AVMED
FL
01
—
290014532
RR MEDICARE
FL
01
—
49139
BCBS
FL
Enumeration date
07/07/2006
Last updated
08/22/2023
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