| Pedro F Casanova Md Pa | |
|
2013 S Mccall Rd Englewood FL 34223-4501 | |
| (941) 474-0625 | |
| (941) 474-0447 |
| Full Name | Pedro F Casanova Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2013 S Mccall Rd, Englewood, Florida |
| Authorized Official Name and Position | Pedro Fernando Casanova (PRESIDENT) |
| Authorized Official Contact | 9414744499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pedro F Casanova Md Pa 2013 S Mccall Rd Englewood FL 34223-4501 Ph: (941) 474-4499 | Pedro F Casanova Md Pa 2013 S Mccall Rd Englewood FL 34223-4501 Ph: (941) 474-0625 |
| NPI Number | 1386728103 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 10/30/2024 |
| Medicare PECOS PAC ID | 6103814223 |
|---|---|
| Medicare Enrollment ID | O20040505001268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386728103 | NPI | - | NPPES |
| 110228472 | Other | FL | RAILROAD MEDICARE |
| 5165660 | Other | FL | AETNA |
| 266253035 | Other | FL | TRICARE |
| 26632 | Other | FL | BLUECROSS BLUESHIELD |
| 6210832 | Other | FL | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME67308 (Florida) | Primary |
| Provider Name | Pedro F Casanova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215992516 PECOS PAC ID: 9931197068 Enrollment ID: I20080530000758 |
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