Individual
CARLOS NICOLAS CASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
COUNTRY WALK URGENT CARE EXPRESS, 15721 SW 152ND ST, MIAMI, FL 33187-1347
(786) 595-3711
(786) 533-9556
Mailing address
1500 SAN REMO AVE, CORAL GABLES, FL 33146-3043
(786) 595-3711
(786) 533-9556
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9112159
ZZ
363AM0700X
Medical Physician Assistant
Primary
PA9112159
FL
363AS0400X
Surgical Physician Assistant
PA10004439
WA
Other
Enumeration date
02/23/2006
Last updated
02/18/2021
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