Casanova, Ena C

Casanova, Ena C is an individual health care provider with primary practice located at 3508 Tamiami Trl Suite C, Port Charlotte FL 33952-8160. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Casanova, Ena C can be contacted via phone (941) 883-3313.

Contact Information

Primary practice address
3508 Tamiami Trl Suite C Port Charlotte FL 33952-8160
Phone: (941) 883-3313
Fax: (941) 883-3320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0052050 Florida

Profile Details

NPI number 1447257548
LBN Legal business name Casanova, Ena C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Sep 9th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447257548 NPPES
Florida Other 161629969 CORP TAX ID
Florida Other 07444 CORP TAX ID
Florida Other 34749 CORP TAX ID
Florida Other 5990509003 CORP TAX ID
Florida MEDICAID 049113600 CORP TAX ID

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