Provider Demographics
NPI:1962607994
Name:CARDONA SANCHEZ, MARLIRIA (LMT)
Entity type:Individual
Prefix:MRS
First Name:MARLIRIA
Middle Name:
Last Name:CARDONA SANCHEZ
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MRS
Other - First Name:MARLIRIA
Other - Middle Name:
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:6345 SUSHI CT
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-1342
Mailing Address - Country:US
Mailing Address - Phone:813-991-5582
Mailing Address - Fax:
Practice Address - Street 1:2901 W BUSCH BLVD STE 801
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-4570
Practice Address - Country:US
Practice Address - Phone:813-935-8001
Practice Address - Fax:813-935-8948
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA37313225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist