Individual
EDISSON 'XAVIER' VEGA-CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7100 W 20TH AVE STE 608, HIALEAH, FL 33016-1824
(305) 557-4016
(305) 828-0670
Mailing address
15280 NW 79TH CT STE 200, MIAMI LAKES, FL 33016-5873
(305) 558-3724
(786) 907-4485
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
125-053608
IL
207Y00000X
Otolaryngology Physician
45642
AZ
207Y00000X
Otolaryngology Physician
Primary
ME134284
FL
Other
Enumeration date
08/20/2007
Last updated
12/19/2022
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