MEDICARE: CANO HEALTH, LLC

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
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1700730991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CANO HEALTH, LLC

Provider Business Mailing Address
First Line	:	8333 NW 53RD ST FL 6
Second Line	:
City	:	DORAL
State	:	FL
Zip	:	33166-4783
Country	:	US
Telephone Number	:	954-408-8672
Fax Number	:	954-901-2654

Provider Business Practice Location Address
First Line	:	807 S PARSONS AVE
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-6063
Country	:	US
Telephone Number	:	813-662-4841
Fax Number	:	813-743-3111

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	STEPHANIE GONZALEZ
Credential	:
Telephone Number	:	954-696-3363

Provider Enumeration Date	:	02/24/2026
Last Update Date	:	05/20/2026

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