Individual
CARLOS A CARDONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12142 CORTEZ BLVD, BROOKSVILLE, FL 34613-5575
(352) 596-9095
Mailing address
15333 PEACH BLOOM RD, BROOKSVILLE, FL 34614-3906
(813) 732-2765
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN9324752
FL
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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