Healthcare Provider Details

I. General information

NPI: 1306939327
Provider Name (Legal Business Name): ALBERTO CASARETTO MD PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 08/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 SE 9TH ST SUITE 103
FORT LAUDERDALE FL
33316-1113
US

IV. Provider business mailing address

407 SE 9TH ST SUITE 103
FORT LAUDERDALE FL
33316-1113
US

V. Phone/Fax

Practice location:
  • Phone: 954-463-0112
  • Fax: 954-463-0117
Mailing address:
  • Phone: 954-463-0112
  • Fax: 954-463-0117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: ALBERTO CASARETTO
Title or Position: OWNER
Credential: M.D.
Phone: 954-463-0112