| Mrs Lisa Lee Cordova, MSN, APRN, FNP-C | |
|
1840 Eldron Blvd Se Ste 1, Palm Bay, FL 32909-6871 | |
| (772) 226-6868 | |
| Not Available |
| Full Name | Mrs Lisa Lee Cordova |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1840 Eldron Blvd Se Ste 1, Palm Bay, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154163251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11032347 (Florida) | Primary |
| Entity Name | Rivers Edge Dpc Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538789243 PECOS PAC ID: 1557784824 Enrollment ID: O20200702001971 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa Lee Cordova, MSN, APRN, FNP-C 14110 Us Highway 1, Sebastian, FL 32958-3233 Ph: (772) 202-2265 | Mrs Lisa Lee Cordova, MSN, APRN, FNP-C 1840 Eldron Blvd Se Ste 1, Palm Bay, FL 32909-6871 Ph: (772) 226-6868 |
Dr. Thomas L Garvin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5270 Babcock St Ne, Ste 1, Palm Bay, FL 32905 Phone: 321-722-5959 Fax: 321-722-5960 | |
Dr. Ming Tao Lai, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 Malabar Rd Se, Ste 2, Palm Bay, FL 32907 Phone: 321-768-2356 Fax: 321-726-6388 | |
Dr. Edwin Chan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1810 Eldron Blvd Se, Palm Bay, FL 32909 Phone: 321-576-0645 Fax: 321-409-6812 | |
Mr. German Castro, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1091 Port Malabar Blvd Ne Suite-1, Palm Bay, FL 32905 Phone: 321-728-7222 Fax: 321-728-8823 | |
Dr. Richard Hernandez, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6100 Minton Rd Nw Ste 104, Palm Bay, FL 32907 Phone: 321-724-1172 Fax: 321-984-7695 | |
Frederick Peterson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6100 Minton Rd Nw, Ste104, Palm Bay, FL 32907 Phone: 321-724-1172 Fax: 321-724-9024 |