Provider Demographics
NPI:1639471899
Name:CORDOVA, FLORIDALMA
Entity Type:Individual
Prefix:MRS
First Name:FLORIDALMA
Middle Name:
Last Name:CORDOVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9036 149TH ST APT 1D
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-3941
Mailing Address - Country:US
Mailing Address - Phone:718-523-9871
Mailing Address - Fax:
Practice Address - Street 1:9036 149TH ST APT 1D
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-3941
Practice Address - Country:US
Practice Address - Phone:718-523-9871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-21
Last Update Date:2010-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY812990175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath