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General NPI Number Information
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NPI Number | 1902133341
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Entity Type | Organization
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Legal Business Name | RENE CASANOVA MEDICAL OFFICE, INC
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Dates
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Enumeration Date | 11/05/2009
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 1881 N UNIVERSITY DR STE 103
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-8923
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Country | US
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Telephone | 954-516-0070
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Fax | 954-516-0029
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Provider Business Mailing Address
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Address Line | 1881 N UNIVERSITY DR STE 103
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-8923
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Country | US
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Telephone | 954-516-0070
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Fax | 954-516-0029
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Authorized Official
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Title or Position | OWNER
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Name | RENE CASANOVA
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Credential | MD
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Telephone | 954-516-0070
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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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