MEDICARE: AMANDA MICHELLE CORDO

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1568393874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA MICHELLE CORDO

Provider Business Mailing Address
First Line	:	15213 SW 141ST ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-5019
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1306 STANFORD DR
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-2065
Country	:	US
Telephone Number	:	305-284-2211
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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Directions to “ AMANDA MICHELLE CORDO ” Practice Location

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