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Organization
PROMEDICAL CENTERS CORP
Active
Organization
PROMEDICAL CENTERS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENE CASANOVA MD (MEDICAL DIRECTOR)
(954) 526-0840
Entity
Organization
Contact information
Practice address
3402 N ANDREWS AVENUE EXT, POMPANO BEACH, FL 33064-2067
(954) 368-1302
(954) 582-6715
Mailing address
400 SAWGRASS CORPORATE PKWY, SUITE 200, SUNRISE, FL 33325-6269
(954) 526-0840
(954) 526-0683
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME78770
FL
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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