Organization
CNAG, INC
Active
Other names
Medical Doctors House Calls
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENE CASANOVA M.D. (MEDICAL DIRECTOR)
(954) 526-0840
Entity
Organization
Contact information
Practice address
400 SAWGRASS CORPORATE PKWY, SUITE 200, SUNRISE, FL 33325-6269
(954) 526-0840
(954) 526-0683
Mailing address
400 SAWGRASS CORPORATE PKWY, SUITE 200, SUNRISE, FL 33325-6269
(954) 526-0840
(954) 526-0683
Taxonomy
Speciality
Code
Description
License number
State
364SH0200X
Home Health Clinical Nurse Specialist
Primary
ME78770
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264910101
—
FL
Enumeration date
10/03/2014
Last updated
10/03/2014
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