Provider Demographics
NPI:1831203876
Name:CARDOZO, GLORIA CRISTINA (ARNP)
Entity type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:CRISTINA
Last Name:CARDOZO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18501 PINES BLVD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-1414
Mailing Address - Country:US
Mailing Address - Phone:954-437-2118
Mailing Address - Fax:
Practice Address - Street 1:18501 PINES BOULVARD
Practice Address - Street 2:SUITE 209
Practice Address - City:PENBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029
Practice Address - Country:US
Practice Address - Phone:954-829-8271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3372362363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health