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Individual
DR. MICHAEL LEE CASELNOVA
Active
Individual
DR. MICHAEL LEE CASELNOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11631
MT
207Q00000X
Family Medicine Physician
Primary
ME 45762
FL
208M00000X
Hospitalist Physician
ME45762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045380300
—
FL
01
—
080008869
RAILROAD WORKERS MEDICARE
FL
Enumeration date
07/24/2006
Last updated
03/17/2018
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