Individual provider · Type 1 NPI

Antonio Jose Cordova

Adult Health Nurse Practitioner · Brooksville, FL

NPI number 1245795996 Active

Practice location

12900 Cortez Blvd Ste 102
Brooksville, FL 34613-6897

Fax (352) 596-5581

Mailing address

202 Eric Ct
Tampa, FL 33615

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X11000965 (FL)
Adult Health Nurse Practitioner Primary 363LA2200XAPRN11000965 (FL)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1245795996

Antonio Jose Cordova's National Provider Identifier is 1245795996, issued on Feb 7, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Brooksville, FL. The record was last updated on Oct 27, 2026.