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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BENJAMIN CORDOBA

Active Sole Proprietor

BENJAMIN CORDOBA is a Behavioral Health, Residential healthcare provider located in BRANDON, Florida. NPI 1588447429 is currently active in the NPPES registry. Verify at CMS.

Behavioral Health, Residential · BRANDON, FL

Registration Details

NPI Number
1588447429
Provider Type
Individual
Gender
Male
NPI Issued
Aug 15, 2023 (3.0408061925119 yrs)
Last Updated
Aug 15, 2023
Sole Proprietor
Yes

Practice Information

Address
619 SANDY CREEK DR
BRANDON, FL, 335117918
Browse FL providers · Browse ZIP 33511
Phone
8134581241
Primary Specialty
Behavioral Health, Residential
251C00000X

Other Behavioral Health, Residential Providers in BRANDON, FL

Name Credential NPI
CAROLE YOKELL 1972076800
MRS. KATHANELL LYNETTE GRIFFIN 1114670403
LAGENA DIAL 1568109106
LARTRANETTE DOMINQUE JONES 1275252280
SIERA CHAMBERS 1881393858
TEAN ANTOINETTE YOUNG 1598549024
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.