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General NPI Number Information
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NPI Number | 1689901688
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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 | 11/11/2009
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 680 N UNIVERSITY DRIVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33024
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Country | US
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Telephone | 954-538-6868
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Fax | 954-538-6850
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Provider Business Mailing Address
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Address Line | 9725 NW 117TH AVE FL 2
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City | MEDLEY
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State | FL
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Zip | 33178-1212
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Country | US
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Telephone | 954-514-9360
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Fax | 954-432-5060
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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 | OS11834
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License Number State | FL
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Taxonomy #2
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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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