Provider Demographics
NPI:1679243216
Name:CARDENAS, GERALDINE (PHLEBOTOMIST)
Entity Type:Individual
Prefix:
First Name:GERALDINE
Middle Name:
Last Name:CARDENAS
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1528 BIRDIE DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34120-0535
Mailing Address - Country:US
Mailing Address - Phone:239-322-6544
Mailing Address - Fax:239-241-2728
Practice Address - Street 1:1528 BIRDIE DR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34120-0535
Practice Address - Country:US
Practice Address - Phone:239-322-6544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy