Individual
DR. ED MANUEL BORRERO CORDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1404 S 28TH ST, FORT PIERCE, FL 34947-6999
(772) 293-0770
Mailing address
12171 SW 268TH ST, HOMESTEAD, FL 33032-8001
(787) 502-4234
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
15139
PR
208D00000X
General Practice Physician
Primary
ACN696
FL
Other
Enumeration date
11/15/2005
Last updated
05/20/2021
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