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Individual

ROBERT CORDERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1592 SOUTH STATE ROAD 15-A, DELAND, FL 32720
(386) 734-2931
(386) 734-2939
Mailing address
1592 SOUTH STATE ROAD 15-A, DELAND, FL 32720
(386) 734-2931
(386) 734-2939

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME58086
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12724
BCBS
FL
01
12724X
MEDICARE
FL
01
180012438
MEDICARE RR
FL
Enumeration date
08/22/2005
Last updated
07/30/2014
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