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NPI Code Detail

MEDICARE: ANTONIO CANO PLLC

MEDICARE: ANTONIO CANO PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME92396FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ME92396OTHERFLSTATE MEDICAL LICENSE

General Provider Information

NPI Number : 1639381247
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANTONIO CANO PLLC
Provider Business Mailing Address
First Line : PO BOX 402585
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33140-0585
Country : US
Telephone Number : 305-807-1049
Fax Number : 305-447-9470
Provider Business Practice Location Address
First Line : 5005 COLLINS AVE
Second Line : STE 1516
City : MIAMI BEACH
State : FL
Zip : 33140-2753
Country : US
Telephone Number : 305-807-1049
Fax Number : 305-447-9470
Authorized Official
Title or Position : PRESIDENT
Name : ANTONIO CANO
Credential : M.D.
Telephone Number : 305-807-1049
Provider Enumeration Date : 05/04/2007
Last Update Date : 08/20/2007

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