Provider Demographics
NPI:1932490778
Name:CARDONA, LINA MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:LINA
Middle Name:MARIA
Last Name:CARDONA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:829 WOODBURY RD STE 103
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-4516
Mailing Address - Country:US
Mailing Address - Phone:407-299-7333
Mailing Address - Fax:407-281-6286
Practice Address - Street 1:829 WOODBURY RD STE 103
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828
Practice Address - Country:US
Practice Address - Phone:407-299-7333
Practice Address - Fax:407-281-6286
Is Sole Proprietor?:No
Enumeration Date:2011-04-27
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME119510207Q00000X, 207N00000X
TXR3043207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine