Individual
EVANGELINE DATU CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
16235 SW 103RD TER, MIAMI, FL 33196-4903
(305) 492-2022
Mailing address
16235 SW 103RD TER, MIAMI, FL 33196-4903
(305) 492-2022
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11031148
FL
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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