Healthcare Provider Details

I. General information

NPI: 1831855907
Provider Name (Legal Business Name): CANO HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2021
Last Update Date: 11/12/2021
Certification Date: 11/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13650 SW 131ST ST
MIAMI FL
33186-5847
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:
  • 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: DR. MARLOW BLAS HERNANDEZ
Title or Position: CEO
Credential: DO
Phone: 954-514-9360