ANTONIO JOSE CORDOVA

BROOKSVILLE, FL
NPI1245795996
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: FL  APRN11000965)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: FL  11000965)
Enumeration Date2019-02-07
Last Update Date2019-10-16
Business Address
ANTONIO JOSE CORDOVA APRN
12900 CORTEZ BLVD STE 102
BROOKSVILLE, FL 34613-6897
Phone number: 352-596-7660
Mailing Address
ANTONIO JOSE CORDOVA APRN
1202 MARINER BLVD
SPRING HILL, FL 34609-5603
Phone number: 352-277-5305