Organization · Type 2 NPI

Cordova Medical Group Corp

Clinic/Center · Miami, FL

NPI number 1740963149 Active

Practice location

12750 NW 17th St Unit 215
Miami, FL 33182-1422

Call (786) 554-2254 Map

Fax (888) 503-1582

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1740963149

Cordova Medical Group Corp's National Provider Identifier is 1740963149, issued on Aug 11, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Miami, FL. The record was last updated on Apr 9, 2026.