Provider Demographics
NPI:1619533593
Name:CARDENAS, SOPHIA M (CD)
Entity Type:Individual
Prefix:MS
First Name:SOPHIA
Middle Name:M
Last Name:CARDENAS
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18320 NETTLES RD
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33549-5436
Mailing Address - Country:US
Mailing Address - Phone:813-230-0183
Mailing Address - Fax:
Practice Address - Street 1:18320 NETTLES RD
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33549-5436
Practice Address - Country:US
Practice Address - Phone:813-230-0183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula