Individual
PETRA MICHELLE CASELNOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2700 HEALING WAY STE 304, WESLEY CHAPEL, FL 33543
(813) 929-5341
(813) 929-5393
Mailing address
2700 HEALING WAY STE 304, WESLEY CHAPEL, FL 33543-5453
(813) 929-5341
(813) 929-5393
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME 123987
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015038600
—
FL
Enumeration date
03/27/2011
Last updated
07/16/2019
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