Individual
HAROLD MATOS CASANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-4000
Mailing address
601 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2300
(386) 425-3995
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME161509
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME161509
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME161509
FL
208D00000X
General Practice Physician
P97673
NY
Other
Enumeration date
07/07/2015
Last updated
06/15/2023
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