Organization
PROMEDICAL CENTERS MIAMI CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENE CASANOVA MD (OWNER)
(305) 967-8610
Entity
Organization
Contact information
Practice address
9100 SW 24TH ST STE 6, MIAMI, FL 33165-2067
(305) 967-8610
(786) 431-1909
Mailing address
9100 SW 24TH ST STE 6, MIAMI, FL 33165-2067
(305) 967-8610
(786) 431-1909
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME78770
FL
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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