Organization
NOVA MEDICAL SERVICES - PULMONARY & CRITICAL CARE DIVISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN D CANAS JR. DNP, MBA (CEO)
(786) 715-9183
Entity
Organization
Contact information
Practice address
8260 W FLAGLER ST STE 2I, MIAMI, FL 33144-2069
(786) 715-9183
(786) 713-1115
Mailing address
8260 W FLAGLER ST STE 2I, MIAMI, FL 33144-2069
(786) 715-9183
(786) 713-1115
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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