MEDICARE: YURISLEYDI HERNANDEZ CARDOZA ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11032392	FL
2	207QA0505X	Adult Medicine Physician	11032392	FL

General Provider Information

NPI Number	:	1225884695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YURISLEYDI HERNANDEZ CARDOZA ARNP

Provider Business Mailing Address
First Line	:	1117 S SEMORAN BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32807-1480
Country	:	US
Telephone Number	:	407-930-1112
Fax Number	:

Provider Business Practice Location Address
First Line	:	1117 S SEMORAN BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32807-1480
Country	:	US
Telephone Number	:	407-930-1112
Fax Number	:	407-930-1114

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2024
Last Update Date	:	04/03/2026

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