# CANO PCP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CANO HEALTH, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861381154
- **Legal business name:** CANO HEALTH, LLC
- **Authorized official:** JOHN LINES (CLO)
- **Authorized official phone:** (615) 866-8861

## Contact information

- **Practice address:** 4160 N ARMENIA AVE STE A, TAMPA, FL 33607-6453
- **Practice address phone:** (813) 673-8245
- **Practice address fax:** (813) 673-8640
- **Mailing address:** 9725 NW 117TH AVE STE 200, MEDLEY, FL 33178-1260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2025
- **Last updated:** 07/01/2025