Casanova Felix, Gwendolyn M
Casanova Felix, Gwendolyn M is an individual health care provider with primary practice located at 7800 66Th St N Ste 101 , Pinellas Park FL 33781-2101. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Casanova Felix, Gwendolyn M can be contacted via phone (727) 546-5702.Contact Information
Primary practice address
7800 66Th St N Ste 101
Pinellas Park FL 33781-2101
Phone: (727) 546-5702
Fax: (727) 546-5700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 16593 | Puerto Rico |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME125895 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 16593 | Puerto Rico |
Profile Details
| NPI number | 1891985198 |
|---|---|
| LBN Legal business name | Casanova Felix, Gwendolyn M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2007 |
| Last updated | Aug 13th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891985198 | NPPES |
| Florida | MEDICAID | 104860700 |
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