| Cano Pcp Mso, Llc | |
|
9725 Nw 117th Ave Ste 200 Medley FL 33178-1260 | |
| (954) 514-9360 | |
| Not Available |
| Full Name | Cano Pcp Mso, Llc |
|---|---|
| Speciality | General Practice |
| Location | 9725 Nw 117th Ave Ste 200, Medley, Florida |
| Authorized Official Name and Position | Marlow B Hernandez (CEO) |
| Authorized Official Contact | 9545149360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cano Pcp Mso, Llc 9725 Nw 117th Ave Ste 200 Medley FL 33178-1260 Ph: (954) 514-9360 | Cano Pcp Mso, Llc 9725 Nw 117th Ave Ste 200 Medley FL 33178-1260 Ph: (954) 514-9360 |
| NPI Number | 1245873678 |
|---|---|
| Provider Enumeration Date | 10/17/2019 |
| Last Update Date | 04/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245873678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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