Organization
HUMBERTO CASANOVA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUMBERTO CASANOVA MD (MD)
(305) 827-3388
Entity
Organization
Contact information
Practice address
17670 NW 78TH AVE, SUITE 109, HIALEAH, FL 33015-3664
(305) 827-3388
(305) 827-4008
Mailing address
17670 NW 78TH AVE, SUITE 109, HIALEAH, FL 33015-3664
(305) 827-3388
(305) 827-4008
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME83737
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262886401
—
FL
Enumeration date
07/08/2014
Last updated
07/08/2014
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