Healthcare Provider Details

I. General information

NPI: 1588856694
Provider Name (Legal Business Name): MONIQUE ELZA CADOGAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2007
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1549 AIRPORT BLVD
PENSACOLA FL
32504-8633
US

IV. Provider business mailing address

14876 HORSESHOE TRCE
WELLINGTON FL
33414-4032
US

V. Phone/Fax

Practice location:
  • Phone: 713-489-2198
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number258960
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberC135357
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number68538
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberME99728
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME99728
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number258960
License Number StateNY
# 7
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberC135357
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: