Organization
MEDICAL ASSISTANCE MANAGEMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENE CASANOVA M.D. (PRESIDENT)
(954) 526-0840
Entity
Organization
Contact information
Practice address
400 SAWGRASS CORPORATE PKWY, SUITE 200, SUNRISE, FL 33325-6269
(954) 526-0840
Mailing address
4401 N ANDREWS AVE, OAKLAND PARK, FL 33309-3917
(954) 526-0840
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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