| Antonio Cano Pllc | |
|
5005 Collins Ave Ste 1516 Miami Beach FL 33140-2753 | |
| (305) 807-1049 | |
| (305) 447-9470 |
| Full Name | Antonio Cano Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5005 Collins Ave, Miami Beach, Florida |
| Authorized Official Name and Position | Antonio Cano (PRESIDENT) |
| Authorized Official Contact | 3058071049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Antonio Cano Pllc Po Box 402585 Miami Beach FL 33140-0585 Ph: (305) 807-1049 | Antonio Cano Pllc 5005 Collins Ave Ste 1516 Miami Beach FL 33140-2753 Ph: (305) 807-1049 |
| NPI Number | 1639381247 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/20/2007 |
| Medicare PECOS PAC ID | 4486741857 |
|---|---|
| Medicare Enrollment ID | O20071101000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639381247 | NPI | - | NPPES |
| ME92396 | Other | FL | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME92396 (Florida) | Primary |
| Provider Name | Antonio C Cano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174525778 PECOS PAC ID: 4789607847 Enrollment ID: I20060104000718 |
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