Healthcare Provider Details

I. General information

NPI: 1801526702
Provider Name (Legal Business Name): CANO HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2022
Last Update Date: 02/25/2024
Certification Date: 02/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 PARK CENTRE BLVD STE 100-110
MIAMI FL
33169-5373
US

IV. Provider business mailing address

9725 NW 117TH AVE STE 200
MEDLEY FL
33178-1260
US

V. Phone/Fax

Practice location:
  • Phone: 855-226-6633
  • Fax:
Mailing address:
  • Phone: 954-514-9360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DEMARQUETTE KENT
Title or Position: CEO
Credential:
Phone: 754-300-9039