Provider Demographics
NPI:1841259603
Name:CARDOZO, JAMES ERIC (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ERIC
Last Name:CARDOZO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1437 SOUTH 6TH ST
Mailing Address - Street 2:
Mailing Address - City:MACCLENNY
Mailing Address - State:FL
Mailing Address - Zip Code:32063
Mailing Address - Country:US
Mailing Address - Phone:904-259-2999
Mailing Address - Fax:904-259-3026
Practice Address - Street 1:1437 SOUTH 6TH ST
Practice Address - Street 2:
Practice Address - City:MACCLENNY
Practice Address - State:FL
Practice Address - Zip Code:32063
Practice Address - Country:US
Practice Address - Phone:904-259-2999
Practice Address - Fax:904-259-3026
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8048111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
593415184OtherHUMANA
593415184OtherUNITED
7318340OtherAETNA NON HMO
FL283889OtherAVMED FL
8622509OtherCIGNA
2795253OtherAETNA HMO
FL34873OtherBCBS GROUP
350051629OtherRAILROAD MEDICARE
70171OtherBCBS INDIVIDUAL
70171OtherBCBS HEALTH OPTIONS
593415184OtherUNITED