Individual
CARLOS PAUL CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13001 SOUTHERN BLVD, LOXAHATCHEE, FL 33470-9203
(561) 784-3127
Mailing address
13001 SOUTHERN BLVD, LOXAHATCHEE, FL 33470-9203
(561) 784-3127
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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