| Javier J. Canasi, M.d.,p.a. | |
|
900 Village Square Xing Ste 130 Palm Beach Gardens FL 33410-4547 | |
| (561) 775-0335 | |
| (561) 775-9492 |
| Full Name | Javier J. Canasi, M.d.,p.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 900 Village Square Xing Ste 130, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Javier Canasi (PRESIDENT) |
| Authorized Official Contact | 5617750335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Javier J. Canasi, M.d.,p.a. 900 Village Square Xing Ste 130 Palm Beach Gardens FL 33410-4547 Ph: (561) 775-0335 | Javier J. Canasi, M.d.,p.a. 900 Village Square Xing Ste 130 Palm Beach Gardens FL 33410-4547 Ph: (561) 775-0335 |
| NPI Number | 1407938152 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 05/17/2022 |
| Medicare PECOS PAC ID | 8628030442 |
|---|---|
| Medicare Enrollment ID | O20061102000447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407938152 | NPI | - | NPPES |
| P00155039 | Other | FL | RAIL ROAD, MEDICARE PROV. |
| 10876 | Other | FL | BCBS FL PROV NO. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME54757 (Florida) | Primary |
| Provider Name | Javier J Canasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396774584 PECOS PAC ID: 3072575893 Enrollment ID: I20041103000201 |
| Provider Name | Jamie Renee Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073096236 PECOS PAC ID: 9032451786 Enrollment ID: I20190429000949 |
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