Provider Demographics
NPI:1194007237
Name:CORDERO, CINDY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:
Last Name:CORDERO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3126 SW FAMBROUGH ST
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-4540
Mailing Address - Country:US
Mailing Address - Phone:407-462-9263
Mailing Address - Fax:
Practice Address - Street 1:90 S SYKES CREEK PKWY
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32952-3593
Practice Address - Country:US
Practice Address - Phone:321-452-5612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS46374183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist