Individual provider Active NPI

Julio Cesar Cordovi, FNP-C

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1568215366
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11032212 Issued in FL
Practice address
6107 Memorial Hwy Ste B
Tampa, FL 33615-4564
Phone
(813) 890-3400
NPI assigned
Apr 10, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11032212 FL Primary

Addresses

Primary practice location

6107 Memorial Hwy Ste B
Tampa, FL 33615-4564

Mailing address

6107 Memorial Hwy Ste B
Tampa, FL 33615-4564
Phone (813) 890-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11032212FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Home Health Care, Inc Current Accepting new patients
Divine Home Health Care, Inc Current Accepting new patients

Locations

6107 Memorial Hwy
Ste B
Tampa, FL 33615
Phone (813) 810-8650

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1568215366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6107 MEMORIAL HWY STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154564",
            "telephone_number": "813-890-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6107 MEMORIAL HWY STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154564",
            "telephone_number": "813-890-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVI",
        "first_name": "JULIO",
        "middle_name": "CESAR",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11032212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.