MEDICARE: DR. LOUIS F CASADO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME 105809	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154303444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOUIS F CASADO M.D.

Provider Business Mailing Address
First Line	:	7189 PEMBROKE RD
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33023-2679
Country	:	US
Telephone Number	:	954-983-1220
Fax Number	:	954-983-0687

Provider Business Practice Location Address
First Line	:	1100 S STATE ROAD 7 STE 104
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33068-4033
Country	:	US
Telephone Number	:	954-984-8000
Fax Number	:	954-984-8811

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	09/18/2020

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