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Provider Information for 1992927982

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

VERONICA MARDO M.D.

Other Name:   VERONICA RIOJA MALDONADO
Gender: FEMALE

Individual NPI: 1992927982

Calendar   Last Updated:  2021-09-13
  Certification Date:  2021-09-13

Details

Name Value
NPI 1992927982
Enumeration Date 2007-05-02
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 38135 MARKET SQ
ZEPHYRHILLS, FL 33542-7505
United States

Phone: 813-528-4975 | Fax:
View Map External Link
Primary Practice Address 27343 WESLEY CHAPEL BLVD
WESLEY CHAPEL, FL 33544-4287
United States

Phone: 813-991-9355 | Fax: 813-907-2395
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Direct Messaging Address fmwc@flmed.directbygreenway.com Health Information Exchange (HIE) 27343 WESLEY CHAPEL BLVD
WESLEY CHAPEL, FL 33544-4287
United States
Other Identifiers
Issuer State Number
Other RR MEDICARE FL P00457756
MEDICAID FL 278225100
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207Q00000X - Family Medicine FL ME92695
No 207SG0201X - Medical Genetics Clinical Genetics (M.D.) FL ME92695