Provider Demographics
NPI:1780876326
Name:CARDONA, ALBA PATRICIA (ARNP)
Entity type:Individual
Prefix:MS
First Name:ALBA
Middle Name:PATRICIA
Last Name:CARDONA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
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Mailing Address - Street 1:207 S. COLLEGE STREET
Mailing Address - Street 2:ALBA P CARDONA, ARNP
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748
Mailing Address - Country:US
Mailing Address - Phone:352-326-8115
Mailing Address - Fax:352-326-5282
Practice Address - Street 1:701 MEDICAL PLAZA DRIVE
Practice Address - Street 2:TRI COUNTY ORTHOPAEDIC CENTER
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748
Practice Address - Country:US
Practice Address - Phone:352-326-8115
Practice Address - Fax:352-326-5282
Is Sole Proprietor?:No
Enumeration Date:2007-08-17
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP2578582363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2578582OtherARNP
FL108973OtherRURAL MEDICARE GROUP