Individual
CARLOS JESUS CANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1395 W BAY DR, LARGO, FL 33770
(727) 584-6802
(727) 586-6278
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(727) 584-6802
(727) 586-6278
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME57565
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063541200
—
FL
Enumeration date
05/12/2006
Last updated
02/12/2021
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