Individual
DR. HUMBERTO CASANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17670 NW 78 AVE, SUITE 109, MIAMI, FL 33015-3665
(305) 827-3388
(305) 827-4008
Mailing address
17670 NW 78 AVE, SUITE 109, MIAMI, FL 33015-3665
(305) 827-3388
(305) 827-4008
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 83737
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262886401
—
FL
Enumeration date
06/16/2006
Last updated
01/04/2016
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