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General NPI Number Information
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NPI Number | 1598871972
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Entity Type | Organization
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Legal Business Name | CORDOVA MEDICAL CENTER
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | AIRPORT OFFICE CENTER 5040 NW 7 ST SUITE 680
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City | MIAMI
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State | FL
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Zip | 33126
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Country | US
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Telephone | 954-914-0107
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Fax |
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Provider Business Mailing Address
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Address Line | AIRPORT OFFICE CENTER 5040 NW 7 ST SUITE 680
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City | MIAMI
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State | FL
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Zip | 33126
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Country | US
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Telephone | 954-914-0107
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YURELVIS CORDERO
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Credential |
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Telephone | 954-914-0107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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