Casanova, Luis A

Casanova, Luis A is an individual health care provider with primary practice located at 3508 Tamiami Trl Suite C, Port Charlotte FL 33952-8160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Casanova, Luis A 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 / Geriatric Medicine 207RG0300X ME0053174 Florida

Profile Details

NPI number 1841297942
LBN Legal business name Casanova, Luis A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Sep 9th, 2020 - about 4 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 1841297942 NPPES
Florida Other 07449 BC/BS INDIVIDUAL
Florida MEDICAID 049029600 BC/BS INDIVIDUAL
Florida Other 2492651001 BC/BS INDIVIDUAL
Florida Other 34749 BC/BS INDIVIDUAL

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