Provider Demographics
NPI:1508226143
Name:CORDOBA MANAGEMENT AND CONSULTING LLC
Entity Type:Organization
Organization Name:CORDOBA MANAGEMENT AND CONSULTING LLC
Other - Org Name:CORDOBA MANAGEMENT AND CONSULTING LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:BUSINESS ARCHITECT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:407-271-6204
Mailing Address - Street 1:517 CAMPUS ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:CELEBRATION
Mailing Address - State:FL
Mailing Address - Zip Code:34747-4613
Mailing Address - Country:US
Mailing Address - Phone:407-271-6204
Mailing Address - Fax:
Practice Address - Street 1:517 CAMPUS ST
Practice Address - Street 2:SUITE B
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-4613
Practice Address - Country:US
Practice Address - Phone:407-271-6204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-24
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL224Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise PhysiologistGroup - Single Specialty