Individual
KARA N CORDOVA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(304) 244-0411
Mailing address
5144 EULACE RD, JACKSONVILLE, FL 32210-7927
(904) 930-8533
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11010149
FL
367500000X
Certified Registered Nurse Anesthetist
X
FL
Other
Enumeration date
09/09/2020
Last updated
09/27/2024
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