Caselnova, Michael Lee

Caselnova, Michael Lee is an individual health care provider with primary practice located at 12470 Telecom Dr Ste 100 , Temple Terrace FL 33637-0904. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Caselnova, Michael Lee can be contacted via phone (813) 779-6303.

Contact Information

Primary practice address
12470 Telecom Dr Ste 100 Temple Terrace FL 33637-0904
Phone: (813) 779-6303
Fax: (888) 977-1998
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11631 Montana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME45762 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME 45762 Florida

Profile Details

NPI number 1689696833
LBN Legal business name Caselnova, Michael Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Mar 17th, 2018 - about 7 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 1689696833 NPPES
Florida Other 080008869 RAILROAD WORKERS MEDICARE
Florida MEDICAID 045380300 RAILROAD WORKERS MEDICARE

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