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Antonio Jose Cordova, APRN
Gerontology Nurse Practitioner in Brooksville, Florida
NPI 1245795996

Antonio Jose Cordova is a Gerontology Nurse Practitioner based in Spring Hill, FL and is specialized in Gerontology. Antonio Jose Cordova practices in Brooksville, FL and has the professional credentials of APRN. The NPI Number for Antonio Jose Cordova is 1245795996 and holds a License No. APRN11000965 (Florida).

The current practice location address for Antonio Jose Cordova is 12900 Cortez Blvd Ste 102, Brooksville, FL and can be reached out via phone at 352-596-7660 and via fax at 352-596-5581.

Location: 12900 Cortez Blvd Ste 102, Brooksville, FL, 34609-5603
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Provider Profile Details
NPI Number
1245795996
Provider Name
Antonio Jose Cordova
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
12900 Cortez Blvd Ste 102, Brooksville, FL, 34609-5603
Phone Number
352-596-7660
Fax Number
352-596-5581
Provider Enumeration Date
02/07/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11000965 05 FL
APRN11000965 01 FL FL MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
12900 Cortez Blvd Ste 102
City
State
Zip
34613-6897
Phone Number
352-596-7660
Fax Number
352-596-5581
person
Provider Business Mailing Address Details
Address
12900 Cortez Blvd Ste 102
City
State
Zip
34613-6897
Phone Number
352-596-7660
Fax Number
352-596-5581
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
11000965 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
APRN11000965 (Florida)
Definition
Definition to come...
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