ANTONIO CORDOVA
NPI 1245795996
Nurse Practitioner - Adult Health in Brooksville, FL

Active since February 07, 2019
12900 CORTEZ BLVD STE 102, BROOKSVILLE, FL 34613(352) 596-7660(352) 596-5581 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 20, 2025, Mar 7, 2025, Oct 16, 2019 and 2 more (5 updates tracked since 2019).

  • Individual
  • Male
  • Nurse Practitioner
  • Adult Health
  • Accepts Insurance

About ANTONIO CORDOVA

This page provides the complete NPI Profile along with additional information for Antonio Cordova, a provider established in Brooksville, Florida with a medical specialization in Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1245795996 assigned on February 2019. The practitioner's primary taxonomy code is 363LA2200X with license number APRN11000965 (FL). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1245795996 Verify this NPI
Provider Name
ANTONIO CORDOVA
Gender
Male
Entity Type
Individual
Location Address
12900 CORTEZ BLVD STE 102 BROOKSVILLE, FL 34613
Location Phone
(352) 596-7660
Location Fax
(352) 596-5581
Mailing Address
202 ERIC CT TAMPA, FL 33615
Mailing Phone
(352) 277-5305
Mailing Fax
(352) 616-0926
Is Sole Proprietor?
No
Enumeration Date
02-07-2019
Last Update Date
04-16-2025
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A nurse practitioner (NP) like Antonio Cordova is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Adult Health

Taxonomy Code
363LA2200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
APRN11000965
License State
FL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LG0600XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Gerontology

11000965 (FL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with AdventHealth - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with AdventHealth - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with AdventHealth - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Bronze Simple Diabetes - HMO
  • Gold Classic Standard - HMO
  • Gold Classic Standard | with AdventHealth - HMO
  • Gold Elite Saver Plus | with AdventHealth - HMO
  • Gold Simple - HMO
  • Gold Simple | with AdventHealth - HMO
  • Silver Classic Standard - HMO
  • Silver Classic Standard | with AdventHealth - HMO
  • Silver Elite - HMO
  • Silver Elite | with AdventHealth - HMO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Silver Simple Chronic Care CKM - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
11000965MEDICAID (05)FL 
APRN11000965OTHER (01)FLFL MEDICAL LICENSE

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Family Medicine
12900 CORTEZ BLVD STE 102
BROOKSVILLE, FL 34613
Podiatrist (Foot & Ankle Surgery)
12900 CORTEZ BLVD STE 102
BROOKSVILLE, FL 34613
Podiatrist (Foot & Ankle Surgery)
12900 CORTEZ BLVD STE 102
BROOKSVILLE, FL 34613
Clinic/Center (Podiatric)
12900 CORTEZ BLVD STE 102
BROOKSVILLE, FL 34613

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245795996, enumerated as an "individual" on February 07, 2019.

The provider is located at 12900 CORTEZ BLVD STE 102 BROOKSVILLE, FL 34613 and the phone number is (352) 596-7660.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

The provider might be accepting Accepts: Oscar Health Maintenance Organization of Florida,. Please consult your insurance carrier or call the provider to verify.