Organization
BUSCH HEALTHCARE & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO J CASANAS M.D. (GENERAL MEDICINE)
(813) 443-5191
Entity
Organization
Contact information
Practice address
2901 W BUSCH BLVD, SUITE 305, TAMPA, FL 33618-4523
(813) 443-5191
(813) 443-5192
Mailing address
2901 W BUSCH BLVD, SUITE 305, TAMPA, FL 33618-4523
(813) 443-5192
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MA8652
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA8652
LICENSED MASSAGE THERAPIST
FL
Enumeration date
07/23/2009
Last updated
07/23/2009
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