Provider Demographics
NPI:1528571403
Name:ARANDA-CORDERO, JENNIFER BEATRIZ (AUD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:BEATRIZ
Last Name:ARANDA-CORDERO
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 1:18903 PEBBLE LINKS CIR APT 105
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-1893
Mailing Address - Country:US
Mailing Address - Phone:352-281-4062
Mailing Address - Fax:
Practice Address - Street 1:790 CONCOURSE PKWY S STE 110
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-6114
Practice Address - Country:US
Practice Address - Phone:407-253-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-14
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY2139231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist