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NPI Code Detail

MEDICARE: ISABELLA CORDERO

MEDICARE: ISABELLA CORDERO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-25-500383FL

General Provider Information

NPI Number : 1336092311
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABELLA CORDERO
Provider Business Mailing Address
First Line : 11200 CALLAWAY GREENS DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33913-8139
Country : US
Telephone Number : 239-270-5921
Fax Number : 239-205-8889
Provider Business Practice Location Address
First Line : 12438 BRANTLEY COMMONS CT
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-5683
Country : US
Telephone Number : 239-270-5921
Fax Number : 239-205-8889
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2026
Last Update Date : 02/18/2026

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Directions to “ ISABELLA CORDERO ” Practice Location

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