# PAOLA CASANOVA, MD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376083972
- **Authorized official:** DR. PAOLA CASANOVA MD (MANAGER)
- **Authorized official phone:** (561) 951-6884

## Contact information

- **Practice address:** 3145 NE 184TH ST APT 5303, AVENTURA, FL 33160-2467
- **Practice address phone:** (954) 909-7979
- **Practice address fax:** (305) 357-3683
- **Mailing address:** 3145 NE 184TH ST APT 5303, AVENTURA, FL 33160-2467
- **Mailing address phone:** (954) 909-7979
- **Mailing address fax:** (305) 357-3683

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME115874 | FL | Yes |

## Other

- **Enumeration date:** 03/01/2017
- **Last updated:** 03/01/2017