Individual
TERESITA MARIA CASANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
140 JFK DRIVE, ATLANTIS, FL 33462
(561) 968-6767
Mailing address
5700 LAKE WORTH RD, STE 204, GREENACRES, FL 33463-4727
(561) 966-7707
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME114053
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008828900
—
FL
Enumeration date
04/09/2008
Last updated
01/07/2014
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