Organization
DR. MARIA A. CORDOVA & ASSOC., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA CORDOVA OD (OWNER)
(954) 432-1532
Entity
Organization
Contact information
Practice address
11401 PINES BLVD, SUITE 352, PEMBROKE PINES, FL 33026-4117
(954) 432-1532
Mailing address
11401 PINES BLVD, SUITE 352, PEMBROKE PINES, FL 33026-4117
(954) 432-1532
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC2957
FL
152WC0802X
Corneal and Contact Management Optometrist
OPC02957
FL
152WS0006X
Sports Vision Optometrist
OPC2957
FL
152WX0102X
Occupational Vision Optometrist
Primary
OPC02957
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC2957
OPTOMETRIC LICENSE
FL
Enumeration date
02/01/2007
Last updated
09/11/2025
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