| Cardinal Healthcare, Pllc | |
|
1840 Capital Medical Ct Tallahassee FL 32308-4468 | |
| (850) 878-0550 | |
| Not Available |
| Full Name | Cardinal Healthcare, Pllc |
|---|---|
| Speciality | Pediatrics |
| Location | 1840 Capital Medical Ct, Tallahassee, Florida |
| Authorized Official Name and Position | Joanna Yao (SOLE MANAGING MEMBER) |
| Authorized Official Contact | 8508780550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardinal Healthcare, Pllc 1840 Capital Medical Ct Tallahassee FL 32308-4468 Ph: (850) 878-0550 | Cardinal Healthcare, Pllc 1840 Capital Medical Ct Tallahassee FL 32308-4468 Ph: (850) 878-0550 |
| NPI Number | 1518918788 |
|---|---|
| Provider Enumeration Date | 05/13/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 3779586102 |
|---|---|
| Medicare Enrollment ID | O20060824000262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518918788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L06000034906 (Florida) | Primary |
| 208000000X | Pediatrics | L060000034906 (Florida) | Primary |
| Provider Name | Frederick B Corpuz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962497651 PECOS PAC ID: 7517901630 Enrollment ID: I20050620000072 |
| Provider Name | Joanna Y Yao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912962648 PECOS PAC ID: 8224031653 Enrollment ID: I20060824000270 |
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