Healthcare Provider Details

I. General information

NPI: 1730043787
Provider Name (Legal Business Name): ANDRES CARDONA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7511 SUN TREE CIR APT 239
ORLANDO FL
32807-6159
US

IV. Provider business mailing address

7511 SUN TREE CIR APT 239
ORLANDO FL
32807-6159
US

V. Phone/Fax

Practice location:
  • Phone: 939-732-0508
  • Fax:
Mailing address:
  • Phone: 939-732-0508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: