Individual
DR. ENA C CASANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0052050
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049113600
—
FL
01
—
07444
BC/BS FL INDIVIDUAL
FL
01
—
161629969
CORP TAX ID
FL
01
—
34749
BC/BS GROUP NUMBER
FL
01
—
5990509003
CIGNA
FL
Enumeration date
07/05/2005
Last updated
09/09/2020
Update your record
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