Casanova, Santiago A

Casanova, Santiago A is an individual health care provider with primary practice located at 4880 W Newberry Rd Suite 180, Gainesville FL 32607-6652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Casanova, Santiago A can be contacted via phone (352) 331-3161.

Contact Information

Primary practice address
4880 W Newberry Rd Suite 180 Gainesville FL 32607-6652
Phone: (352) 331-3161
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X PT4768 Florida

Profile Details

NPI number 1235194309
LBN Legal business name Casanova, Santiago A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Aug 31st, 2011 - about 14 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 1235194309 NPPES
Florida Other Y3348 BLUE CROSS BLUE SHIELD

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