Individual
ANDREA CANATA
Active
Individual
ANDREA CANATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9106229
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59-3585336
FEDERAL TAX IDENTIFICATION NUMBER
FL
Enumeration date
07/10/2012
Last updated
04/06/2015
Update your record
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