Provider Demographics
NPI:1619246212
Name:CARDONA, ADRIANA M (MS-CF-SLP)
Entity Type:Individual
Prefix:MS
First Name:ADRIANA
Middle Name:M
Last Name:CARDONA
Suffix:
Gender:F
Credentials:MS-CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 ABBERTON DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-6563
Mailing Address - Country:US
Mailing Address - Phone:407-496-0712
Mailing Address - Fax:
Practice Address - Street 1:1221 W COLONIAL DR STE 300
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-7156
Practice Address - Country:US
Practice Address - Phone:407-496-0712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-28
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ5641235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist