Individual
MR. ANTONIO CORDOVA III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
4001 26TH ST, VERO BEACH, FL 32960-1930
(772) 569-4900
Mailing address
3660 MORNING MEADOW LN, ORANGE PARK, FL 32073-7602
(904) 386-0480
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1499
FL
Other
Enumeration date
12/29/2005
Last updated
07/08/2007
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