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General NPI Number Information
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NPI Number | 1629832977
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Entity Type | Organization
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Legal Business Name | CANO HEALTH, LLC
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Dates
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Enumeration Date | 02/07/2024
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 7306 SW 117TH AVE
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City | MIAMI
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State | FL
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Zip | 33183-3804
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Country | US
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Telephone | 305-220-0220
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Fax |
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Provider Business Mailing Address
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Address Line | 9725 NW 117TH AVE STE 200
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City | MEDLEY
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State | FL
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Zip | 33178-1260
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Country | US
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Telephone | 954-514-9360
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Fax |
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Authorized Official
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Title or Position | CLO
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Name | JOHN LINES
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Credential |
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Telephone | 954-408-8672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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