Cordell, Tina Marie
Cordell, Tina Marie is an sole proprietor health care provider with primary practice located at 8961 Daniels Center Dr Ste 401 , Fort Myers FL 33912-0314. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Cordell, Tina Marie can be contacted via phone (239) 433-6700.Contact Information
Primary practice address
8961 Daniels Center Dr Ste 401
Fort Myers FL 33912-0314
Phone: (239) 433-6700
Fax: (239) 433-6703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1700903796 |
|---|---|
| LBN Legal business name | Cordell, Tina Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Apr 26th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700903796 | NPPES |
| Florida | MEDICAID | 757777000 |
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