# DR. FEDERICO MARIANO CANAVOSIO II

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679721393
- **Gender:** Man
- **Credential:** MEDICAL DOCTOR

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME104488 | FL | Yes |
| 208M00000X | Hospitalist Physician | CDRH.0056925 | CO | — |
| 208M00000X | Hospitalist Physician | ME104488 | FL | — |

## Other

- **Enumeration date:** 09/06/2008
- **Last updated:** 04/20/2023