Individual
HANIET CORDOVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 NE 22ND TER, HOMESTEAD, FL 33033-4707
(786) 668-3342
Mailing address
157 NE 25TH TER, HOMESTEAD, FL 33033-6215
(305) 951-9823
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9257883
FL
208D00000X
General Practice Physician
19977
PR
208D00000X
General Practice Physician
Primary
ACN1078
FL
Other
Enumeration date
06/12/2018
Last updated
03/11/2021
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