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Organization
PEDRO F CASANOVA MD PA
Active
Organization
PEDRO F CASANOVA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEDRO FERNANDO CASANOVA MD (PRESIDENT)
(941) 474-4499
Entity
Organization
Contact information
Practice address
2013 S MCCALL RD, ENGLEWOOD, FL 34223-4501
(941) 474-0625
(941) 474-0447
Mailing address
2013 S MCCALL RD, ENGLEWOOD, FL 34223-4501
(941) 474-4499
(941) 474-0447
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME67308
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110228472
RAILROAD MEDICARE
FL
01
—
266253035
TRICARE
FL
01
—
26632
BLUECROSS BLUESHIELD
FL
01
—
5165660
AETNA
FL
01
—
6210832
CIGNA
FL
Enumeration date
10/25/2006
Last updated
10/30/2024
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