Healthcare Provider Details

I. General information

NPI: 1467408591
Provider Name (Legal Business Name): BEATA C CASANAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BEATA C HERMAN M.D.

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 E KENNEDY BLVD SUITE 311
TAMPA FL
33602-3511
US

IV. Provider business mailing address

1105 E KENNEDY BLVD SUITE 311
TAMPA FL
33602-3511
US

V. Phone/Fax

Practice location:
  • Phone: 813-307-8015
  • Fax: 813-276-2999
Mailing address:
  • Phone: 813-307-8015
  • Fax: 813-276-2999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberOS8196
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: