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General NPI Number Information
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NPI Number | 1649317082
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Entity Type | Organization
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Legal Business Name | DR. MARIA A. CORDOVA & ASSOC., PA
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 11401 PINES BLVD SUITE 352
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-4117
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Country | US
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Telephone | 954-432-1532
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Fax |
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Provider Business Mailing Address
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Address Line | 11401 PINES BLVD SUITE 352
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-4117
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Country | US
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Telephone | 954-432-1532
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIA CORDOVA
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Credential | OD
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Telephone | 954-432-1532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC2957
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | OPC02957
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 152WS0006X
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Taxonomy Name | Sports Vision Optometrist
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License Number | OPC2957
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 152WX0102X
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Taxonomy Name | Occupational Vision Optometrist
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License Number | OPC02957
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License Number State | FL
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