Organization
PROMEDICAL CENTER HIALEAH CORP
Active
Organization
PROMEDICAL CENTER HIALEAH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENE CASANOVA MD (OWNER)
(786) 953-4471
Entity
Organization
Contact information
Practice address
900 W 49TH ST STE 300, HIALEAH, FL 33012-3407
(786) 953-4471
(786) 703-5185
Mailing address
900 W 49TH ST STE 300, HIALEAH, FL 33012-3407
(786) 953-4471
(786) 703-5185
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME78770
FL
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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