Healthcare Provider Details

I. General information

NPI: 1881383321
Provider Name (Legal Business Name): RUTE BORGES CARDOSO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2023
Last Update Date: 09/04/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9430 TURKEY LAKE SUITE 208
WINTER GARDEN FL
34787-5597
US

IV. Provider business mailing address

9305 HOLLISTON CREEK PL
WINTER GARDEN FL
34787-3273
US

V. Phone/Fax

Practice location:
  • Phone: 407-208-9870
  • Fax:
Mailing address:
  • Phone: 407-300-7349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number181414
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: