Cordova, Alfredo Cesar

Cordova, Alfredo Cesar is an individual health care provider with primary practice located at 1921 Waldemere St , Sarasota FL 34239-2943. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Cordova, Alfredo Cesar can be contacted via phone (941) 917-1579.

Contact Information

Primary practice address
1921 Waldemere St Sarasota FL 34239-2943
Fax: (941) 917-4340
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME129309 Florida
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 35139479 Ohio

Profile Details

NPI number 1003087487
LBN Legal business name Cordova, Alfredo Cesar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2008
Last updated Jun 6th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003087487 NPPES
Ohio MEDICAID 0409364

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