Cordova, Evangeline Datu

Cordova, Evangeline Datu is an sole proprietor health care provider with primary practice located at 16235 Sw 103Rd Ter , Miami FL 33196-4903. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Cordova, Evangeline Datu can be contacted via phone (305) 492-2022.

Contact Information

Primary practice address
16235 Sw 103Rd Ter Miami FL 33196-4903
Phone: (305) 492-2022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 11031148 Florida

Profile Details

NPI number 1710733258
LBN Legal business name Cordova, Evangeline Datu
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2024
Last updated Apr 25th, 2024 - about last year

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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