DR CORDERO PEDIATRIC OFFICE
Medical Practice at 6 Ave, Naples, FL

License number
Florida ME94236
Category
Medical Practice
Type
Adolescent Medicine
Owner
Name: MRS. NIRKA M CORDERO
Title: OFFICE MANAGER
Phone: (239) 213-9204
Address
Address
1090 6Th Ave N, Naples, FL 34102
National Provider ID: 1407248636
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. CORDERO PEDIATRIC OFFICE, INC

Naples, FL

Status:
Inactive
Inactive reason:
AMENDMENT
Registration:
Sep 7, 2006
Inactive since:
Aug 9, 2011
Addresses:
1090 6 Ave N, Naples, FL 34102 (Physical)
671 Goodlette Rd N, Naples, FL 34102
State ID:
P06000115773
Business type:
Florida Profit Corporation
Vice Presidents:
Hector Jmd Cordero (President), 4685 7 Ave SW, Naples, FL 34119 (Physical),Nirka M Cordero (Vice President), 4685 7 Ave SW, Naples, FL 34119 (Physical)
Agent:
Hector Cordero,1090 6 Ave N, Naples, FL 34102 (Physical)
EIN:
56-2581170

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