Organization
CNAG, INC
Active
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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