DR. MARLENE TAGES CORDOVA, D.O.
Osteopathic Medicine at Hiatus Rd, Hollywood, FL

License number
Florida OS7420
Category
Osteopathic Medicine
Type
Family Medicine
License number
Florida OS7420
Category
Osteopathic Medicine
Type
Addiction Medicine
Address
Address
600 N Hiatus Rd SUITE 203, Hollywood, FL 33026
Phone
(954) 392-7157
(954) 443-4941 (Fax)
National Provider ID: 1407856685
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Marlene Tages Cordova

600 N Hiatus Rd SUITE 203, Hollywood, FL 33026

Phone:
(954) 392-7157 (Phone)
Categories:
Health & Medical - General

Marlene Tages Cordova, D.O., PA

Hollywood, FL

Status:
Inactive
Registration:
Jul 31, 2000
Addresses:
600 N Hiatus Rd, Hollywood, FL 33026
PO Box 260626, Hollywood, FL 33026
PO Box 222306, Hollywood, FL 33022
State ID:
P00000073167
Business type:
Domestic for Profit Corporation
Vice Presidents:
Lakeside Medical And Aesthetic Centre, Lc (Managing Member),Marlene T. Cordova (President),Daniel J. Cordova (Vice President)

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