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Kathryn Cardona

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

PECOS Enrollment

Based on the most recent information from CMS, provider Kathryn Cardona is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 1:10 PM.

Profile Details

Provider ID
1114440088
Provider Type
Individual
Full Name
Cardona, Kathryn
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
7/21/2017
Last Updated
9/1/2020

Contact Information

Practice Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Mailing Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP9333571 Florida

Kathryn Cardona

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Adalia, Michael

Mutz, Elizabeth Gatch

Daynega, Anatoliy

Prussak, Karin

Esomonu, Chinenye

Molloy, Sean

Gaouette, Sally Anne

Adams, Jeremy C

Tomlinson, Amanda

Tatum, Mary E