Dr Ena C Casanova, MD | |
3508 Tamiami Trl, Suite C, Port Charlotte, FL 33952-8160 | |
(941) 883-3313 | |
(941) 883-3320 |
Full Name | Dr Ena C Casanova |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 3508 Tamiami Trl, Port Charlotte, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447257548 | NPI | - | NPPES |
161629969 | Other | FL | CORP TAX ID |
07444 | Other | FL | BC/BS FL INDIVIDUAL |
34749 | Other | FL | BC/BS GROUP NUMBER |
5990509003 | Other | FL | CIGNA |
049113600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME0052050 (Florida) | Primary |
Entity Name | Port Charlotte Hma Physician Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003985573 PECOS PAC ID: 8729187901 Enrollment ID: O20070629000043 |
Entity Name | Millennium Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
Mailing Address | Practice Location Address |
---|---|
Dr Ena C Casanova, MD Po Box 495790, Port Charlotte, FL 33949-5790 Ph: (941) 883-3313 | Dr Ena C Casanova, MD 3508 Tamiami Trl, Suite C, Port Charlotte, FL 33952-8160 Ph: (941) 883-3313 |
Dr. Mary C Sokoloski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22655 Bayshore Rd Ste 110, Port Charlotte, FL 33980 Phone: 941-235-4900 Fax: 941-235-4901 | |
Sandra Hegarty, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 4300 Kings Hwy, #500, Port Charlotte, FL 33980 Phone: 239-344-2325 Fax: 941-764-6176 | |
Dr. Viraine S Weerasooriya, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 22655 Bayshore Rd Ste 110, Port Charlotte, FL 33980 Phone: 941-235-4900 Fax: 941-235-4901 | |
Aslam Hyder Qureshi, Pediatrics Medicare: Medicare Enrolled Practice Location: 22655 Bayshore Rd Ste 110, Port Charlotte, FL 33980 Phone: 941-235-4900 Fax: 941-235-4901 | |
Mr. Luis Ramon Rodriguez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2484 Caring Way, Suite D, Port Charlotte, FL 33952 Phone: 941-625-1999 Fax: 941-625-4600 | |
Dr. Ebenezer Kuma, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3406 Tamiami Trl Unit 2, Port Charlotte, FL 33952 Phone: 941-625-4919 Fax: 941-625-5516 | |
Dr. Shahzaib Mirza, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4300 Kings Hwy Ste 500, Port Charlotte, FL 33980 Phone: 393-442-3252 Fax: 941-764-6176 |