DR. MARTHA ROSA CORDOBA-FABELO (NPI# 1205058062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205058062 |
| Entity Type | Individual |
| Full Name | DR. MARTHA ROSA CORDOBA-FABELO |
| Credential | MD |
| Practice Address |
431 Southwest Blvd No St Petersburg FL 33703 |
| Mailing Address |
431 Southwest Blvd No. St. Petersburg FL 33703 |
| Practice Telephone | 7275267337 |
| Practice Fax Number | 7275287337 |
| Mailing Telephone | 7275267337 |
| Mailing Fax Number | 7275287337 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2017-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME100075 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
431 SOUTHWEST BLVD NO |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150276 | Stephanie Gayle Barnes | Rehabilitation Practitioner | 610 47th Ave N, St Petersburg, FL 33703 | 2020-09-25 |
| 1366945099 | St. Petersburg Free Clinic | General Practice | 5501 - 4th Street North, St. Petersburg, FL 33703 | 2018-03-08 |
| 1306381363 | Dominique Timothee | Behavioral Analyst | 4301 16th Street N, St Petersburg, FL 33703 | 2016-12-30 |
| 1962849455 | Bobbie Vaughn | Behavioral Analyst | 880 6th St. South, St. Petersburg, FL 33703 | 2013-05-24 |
| 1255672796 | Mary Paige Bourbeau | Nurse Practitioner | 5500 9th St N., St Petersburg, FL 33703 | 2013-03-07 |
| 1437435237 | Lynn Bonner-nelson | Counselor | 6161 Dr. Mlk Jr Street N. #204, Saint Petersburg, FL 33703 | 2011-10-25 |
| 1245545953 | Patricia Reynolds | Speech-Language Pathologist | 3950 3rd Street North, Suite D, Community Rehab Associates, St. Petersburg, Fl, FL 33703 | 2010-08-18 |
| 1326367145 | Sigurd T Rutkis | Occupational Therapist | 3835 1st Street Northeast, St. Petersburg, FL 33703 | 2010-05-18 |
| 1922338136 | Christy Carr | Mechanotherapist | 5560 Kelly Dr N, Saint Petersburg, FL 33703 | 2010-01-11 |
| 1871730317 | Ronald H Copenhaver Dmd Pa | Dentist | 4338 1st Street N, Suite C, St. Petersburg, FL 33703 | 2009-01-20 |
| Find all providers in zip 33703 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104209758 | Jan S Bender Md, Pllc | Pediatrics | 6449 38th Ave N Ste G4, St Petersburg, FL 33710-1643 | 2015-07-01 |
| 1679821219 | Valerie Ann Cruz Flores | Pediatrics | 501 6th Ave S Ste 3100, St Petersburg, FL 33701-4634 | 2012-08-29 |
| 1932419074 | Elinor Miranda | Pediatrics | 3551 42nd Ave S, Ste 101, St Petersburg, FL 33711-4369 | 2010-10-07 |
| 1245465186 | Rhiannon Hickok | Pediatrics | 601 5th St S Ste 501, St Petersburg, FL 33701-4804 | 2009-05-21 |
| 1346495181 | Jorge Santiago Vidal | Pediatrics | 2096 Iowa Ave Ne, St Petersburg, FL 33703-3428 | 2008-11-20 |
| 1881854693 | Thien Trang Thi Tran | Pediatrics | 2701 54th Ave S, St Petersburg, FL 33712-4776 | 2008-06-15 |
| 1396919510 | Susan Darlyne Dibs | Pediatrics | 501 6th Ave S Dept, St Petersburg, FL 33701-4634 | 2008-04-18 |
| 1316152713 | Stephen G. Nelson, M.d., Pa | Pediatrics | 5601 Dr Martin Luther King Jr St N, St Petersburg, FL 33703-1205 | 2007-05-11 |
| 1649482001 | Boyd J Mullholand | Pediatrics | 2243 Mermaid Pt Ne, St Petersburg, FL 33703-3441 | 2007-05-05 |
| 1720101397 | Elizabeth Marie Brennan | Pediatrics | 601 5th St S Dept 6941, St Petersburg, FL 33701 | 2007-04-09 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33703 |
Please comment or provide details below to improve the information on DR. MARTHA ROSA CORDOBA-FABELO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.