Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Antonio Cordova

Individual provider Gerontology Nurse Practitioner · NPI 1245795996

Antonio Cordova is a Gerontology Nurse Practitioner in Brooksville, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
Specialties on file
2

Practice location Address checks out

12900 Cortez Blvd Ste 102
Brooksville, FL 34613-6897
Phone: (352) 596-7660
Fax: (352) 596-5581
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN11000965 (FL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 11000965 (FL)

Record details

NPI number1245795996
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 7, 2019
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025
Mailing address202 Eric Ct, Tampa, FL 33615

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