Provider Demographics
NPI:1093002834
Name:CARDENAS, EMILY S (AUD)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:S
Last Name:CARDENAS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 TAMPA GENERAL CIRCLE
Mailing Address - Street 2:SUITE 610
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606
Mailing Address - Country:US
Mailing Address - Phone:813-844-4923
Mailing Address - Fax:813-844-4905
Practice Address - Street 1:5 TAMPA GENERAL CIRCLE
Practice Address - Street 2:SUITE 610
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606
Practice Address - Country:US
Practice Address - Phone:813-844-4923
Practice Address - Fax:813-844-4905
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE900778231H00000X, 237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist